PMID: 8976227Jan 1, 1997Paper

Treatment of complex anterior urethral stricture disease with mesh graft urethroplasty

The Journal of Urology
L K CarrG D Webster

Abstract

Treatment of complex anterior urethral strictures complicated by a lack of sufficient penile skin for primary flap repair has generally consisted of 2-stage scrotal inlay urethroplasty. Scrotal skin has shortcomings, most notably hair formation, diverticula and stricture recurrence from urine induced dermatitis. As an alternative, we present our results with staged mesh graft urethroplasty using split-thickness skin, which is nonhair-bearing, easier to size and seemingly less permeable to urine penetration. Between 1990 and 1995, 20 men underwent mesh graft urethroplasty for complex strictures, most after failed urethroplasty. Meshed split-thickness skin graft from the thigh (17 men) or full-thickness foreskin (3) was used. Overall median time to closure was 5.5 months, and 6 men required revision before closure (revision of ostia in 3, chordee release in 2 and lysis of graft adhesions in 1). A successful outcome, as evidenced by retrograde urethrography and history, was achieved in 12 of 15 men (80%) with a median followup of 38 months. Five men have not undergone closure due to patient refusal (2) or because the graft is not ready to be closed (3). Of the failures 2 men had retrograde urethrographic evidence of stricture at t...Continue Reading

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Citations

Jan 15, 2008·BJU International·Orietta DalpiazChristian Schwentner
Apr 14, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Akshay PratapSatyendra Narayan Singh
Jun 30, 2006·European Urology·Guido BarbagliGiampaolo Bianchi
Aug 27, 1998·The Journal of Urology·D R Vandersteen, D A Husmann
Jul 11, 2014·Advances in Urology·Raj Kumar MathurSudharshan A Odiya
Dec 18, 2001·The Journal of Urology·Enzo PalminteriGuido Barbagli
Sep 25, 1997·The Journal of Urology·A F MoreyJ W McAninch
Jul 10, 2001·International Journal of Urology : Official Journal of the Japanese Urological Association·A E Aghaji, C A Odoemene
Jan 12, 1999·British Journal of Urology·D FondaR Kirschner-Hermanns
Jul 16, 2015·Korean journal of urology·Darren J BrykLee C Zhao
Sep 18, 2013·Korean journal of urology·Young Ju Lee, Soo Woong Kim
Oct 3, 2012·Current Opinion in Urology·Silke RiechardtMargit Fisch
Apr 16, 2002·Current Opinion in Urology·Vito Pansadoro, Paolo Emiliozzi

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