One-Stage Repair of Long Bulbar Urethral Strictures Using Augmented Russell Dorsal Strip Anastomosis: Outcome of 234 Cases

摘要: Abstract Objectives Long bulbar urethral strictures (>2cm) are not amenable to stricture excision and primary anastomosis procedure, which may result in a short urethra chordee formation. For such many procedures have been advocated including stricturotomy with subsequent graft or flap onlay, augmented anastomosis, staged procedures, is combination of the Russell graft. We present our 10-yr experience procedure using ventral onlay buccal mucosal patch for treatment long anastomosis. Methods A total 234 patients diagnosed by urethrograms as having (mean, 4.2cm) were managed urethroplasty. The included most diseased segment 2.8cm) dorsal strip leaving an oval defect. Augmentation was done all mucosa 4.7cm). Results Mean follow-up 36 mo. Urethrograms at 3 wk 6 mo postoperatively if symptomatic thereafter. Urethrocystoscopy performed 12 18 223 completed protocol; overall success rate 93.7% 14 (6.3%) showing recurrence different intervals postoperatively. Ten failure group successfully single visualized internal urethrotomy (VIU), whereas other four treated penile pedicled flap. Postoperative dribbling urine noticed 90 (40.4%) temporary perioral numbness patients; no major donor site complications noted series. Conclusion technique beneficial strictures; free. In region, both onlays applicable nearly equal rates. offers excellent material augmentation.