PMID: 9540183Apr 16, 1998Paper

Two-stage urethra-plasty

Der Urologe. Ausg. A
F Schreiter

Abstract

Between 1977 and 1996 we treated 176 patients suffering from complicated urethral strictures with the mesh-graft urethroplasty. This operation technique has replaced the Bengt-Johanson-Operation which had been used frequently until that date. The Cecil-Operation has been totally abandoned, because in our opinion the usage of scrotal skin in urethral reconstruction is obsolete today. The mesh-graft technique is based on the free transfer of meshed prepuce (full-thickness skin or split-thickness skin) in a two stage procedure. In 37 patients the inner layer of the prepuce was used, in 63 patients we only used split-thickness skin grafts and in 76 patients we applied a combination of both, the inner layer of the prepuce in addition to a split-thickness skin graft. After complete healing of the graft (first stage) the formation of the neourethra follows as the second stage procedure. The mesh graft procedure can be used to treat all kinds of strictures independent of the etiology or localisation. Hair growth, diverticula development and stone formation that are observed frequently as complications with scrotal skin substitutes can be avoided. Due to these advantages encouraging long term results could be obtained with the mesh graf...Continue Reading

Citations

Sep 13, 2001·Journal of Endourology·I Singh, A K Hemal
Jan 11, 2013·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Petrus OlivaAntonio Macedo
Aug 26, 2006·Der Urologe. Ausg. A·K-D SievertA Stenzl
May 27, 2010·Der Urologe. Ausg. A·S HauserS C Müller
Apr 16, 2002·Current Opinion in Urology·Vito Pansadoro, Paolo Emiliozzi
Jan 27, 2005·Scandinavian Journal of Urology and Nephrology·Heinrich Schulte-BauklohHelmut H Knispel

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