Bulbar urethroplasty using the dorsal approach: current techniques.

摘要: INTRODUCTION: The use of flaps or grafts is mandatory in patients with longer and complex strictures. In 1995-96 we described a new dorsal onlay graft urethroplasty. Over time, our original technique was better defined changed. Now this procedure (also named Barbagli technique) has been greeted fair amount enthusiasm Europe the United States. SURGICAL TECHNIQUE: patient placed normal lithotomy position, midline perineo-scrotal incision made. bulbar urethra then free from bulbo-cavernous muscles, dissected corpora cavernosa. completely mobilized cavernosa, it rotated 180 degrees, incised along its surface. (preputial skin buccal mucosa) flap fixed quilted to tunica albuginea corporal bodies. right mucosal margin opened sutured side patch-graft. back into position. left urethral patch bodies, grafted area entirely covered by plate. muscles are approximated over area. A 16F silicone Foley catheter place. COMMENTS: Dorsal urethroplasty versatile that may be combined various substitute materials like preputial skin, mucosa pedicled flaps.