MULTI-INSTITUTIONAL EXPERIENCE WITH BUCCAL MUCOSA ONLAY URETHROPLASTY FOR BULBAR URETHRAL RECONSTRUCTION

作者: CHRISTOPHER J. KANE , GREGORY J. TARMAN , DUNCAN J. SUMMERTON , CRAIG E. BUCHMANN , JOHN F. WARD

DOI: 10.1016/S0022-5347(05)65289-5

关键词: CheekUrethraRetrograde urethrogramUrethral strictureAmerican Urological Association Symptom ScoreBuccal administrationMedicineStenosisUrethroplastySurgery

摘要: Purpose: Buccal mucosa has been advocated as an ideal graft material for urethral reconstruction. We report our multicenter experience with buccal ventral onlay urethroplasty complex bulbar reconstruction in adults.Materials and Methods: A retrospective analysis of patients who had undergone at 4 military medical treatment facilities participating the Uniformed Services Urology Research Group was performed. The database generated included demographic data, genitourinary history, preoperative symptoms (American Urological Association symptom score), urinary flow rate, stricture length operative statistics. Postoperative followup data score, retrograde urethrogram results, complications.Results: total 53 (average age 32 years, range 17 to 64) underwent between January, 1996 March, 1998 refractory strictures. Sixteen average 2....

参考文章(20)
Allen F. Morey, Jack W. McAninch, When and how to use buccal mucosal grafts in adult bulbar urethroplasty. Urology. ,vol. 48, pp. 194- 198 ,(1996) , 10.1016/S0090-4295(96)00154-9
GUIDO BARBAGLI, ENZO PALMINTERI, MICHELANGELO RIZZO, Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. The Journal of Urology. ,vol. 160, pp. 1307- 1309 ,(1998) , 10.1016/S0022-5347(01)62522-9
Allen F. Morey, C. Pace Duckett, Jack W. McAninch, FAILED ANTERIOR URETHROPLASTY: GUIDELINES FOR RECONSTRUCTION Journal of Urology. ,vol. 158, pp. 1383- 1387 ,(1997) , 10.1016/S0022-5347(01)64221-6
Hunter Wessells, Jack W. McAninch, Use of Free Grafts in Urethral Stricture Reconstruction The Journal of Urology. ,vol. 155, pp. 1912- 1915 ,(1996) , 10.1016/S0022-5347(01)66045-2
Vito Pansadoro, Paolo Emiliozzi, Marco Gaffi, Paolo Scarpone, F DePaula, M Pizzo, BUCCAL MUCOSA URETHROPLASTY FOR THE TREATMENT OF BULBAR URETHRAL STRICTURES The Journal of Urology. ,vol. 161, pp. 1501- 1503 ,(1999) , 10.1016/S0090-4295(02)02585-2
C.F. HEYNS, J.W. STEENKAMP, M.L.S. DE KOCK, P. WHITAKER, TREATMENT OF MALE URETHRAL STRICTURES: IS REPEATED DILATION OR INTERNAL URETHROTOMY USEFUL? The Journal of Urology. ,vol. 160, pp. 356- 358 ,(1998) , 10.1016/S0022-5347(01)62894-5
D. H. Szulczewski, J. Kleinheinz, R. Werkmeister, U. Meyer, S. Roth, U. Joos, Regeneration der Mundschleimhaut im Planum buccale nach Entnahme zur Rekonstruktion von bulbären Urethrastenosen Mund-, Kiefer- und Gesichtschirurgie : MKG. ,vol. 3, pp. 34- 37 ,(1999) , 10.1007/S100060050090
D.E. ANDRICH, A.R. MUNDY, SUBSTITUTION URETHROPLASTY WITH BUCCAL MUCOSAL-FREE GRAFTS The Journal of Urology. ,vol. 165, pp. 1131- 1134 ,(2001) , 10.1016/S0022-5347(05)66447-6