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Urology. 2016 Apr;90:179-83. doi: 10.1016/j.urology.2015.12.014. Epub 2015 Dec 29.

Kulkarni Dorsolateral Graft Urethroplasty Using Penile Skin.

Author information

1
Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy; Department of Urology, Clinica Cellini, Humanitas Institute, Torino, Italy. Electronic address: enzo.palminteri@inwind.it.
2
Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy; Department of Urology, Clinica Cellini, Humanitas Institute, Torino, Italy.
3
Department of Urology, Ghent University Hospital, Ghent, Belgium.
4
Department of Urology, San Donato Hospital, Milan, Italy.
5
Department of Urology, Tor Vergata University, Rome, Italy.
6
Department of Obstetrics, Gynecology and Urology, "Sapienza" University, Rome, Italy.
7
Department of Urology, "Federico II" University, Naples, Italy.

Abstract

OBJECTIVES:

To investigate the safety, efficacy, and versatility of dorsolateral graft urethroplasty using penile skin.

MATERIALS AND METHODS:

Between 2010 and 2013, 37 men with anterior urethral strictures underwent dorsolateral graft urethroplasty using penile skin by a single surgeon (EP). Inclusion criterion was patients with anterior urethral strictures. Exclusion criteria were lichen sclerosus-related strictures, absence of available penile skin because of previous surgery, and obliterative urethral strictures. Clinical outcome was considered a failure when any postoperative instrumentation was needed, including dilatation.

RESULTS:

Mean (± standard deviation) patients age was 51 (±15.4) years. Stricture etiology was iatrogenic in 25 cases (67%), unknown in 10 (27%), trauma in 2 (6%). Stricture site was penile in 21 (57%) and peno-bulbar in 16 (43%). Median (range) stricture length was 5 cm (1-15). Of 37 patients, 30 (81%) had received previous treatments. Median (range) follow-up was 21 months (12-47). Of 37 patients, 34 (92%) had successful treatment and 3 (8%) had failed treatment. The 3 patients with failed treatment were treated with urethrostomy and are awaiting further reconstruction. Study limitations include the small sample size and the limited follow-up.

CONCLUSION:

With a mid-term follow-up time, the dorsolateral graft urethroplasty using penile skin is shown to be a safe, efficient, and versatile technique for the repair of short-mid-long anterior urethral strictures.

PMID:
26743395
DOI:
10.1016/j.urology.2015.12.014
[Indexed for MEDLINE]

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