Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty

Objective: To report the surgical details and results of our technique of buccal mucosal graft (BMG) urethroplasty for panurethral stricture, as many studies have reported repair of panurethral stricture by single-stage BMG urethroplasty by placing buccal mucosa ventrally, dorsally or dorsolaterally...

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Autores principales:	Subbarao Chodisetti, Yogesh Boddepalli, Malakondareddy Kota
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Buccal mucosal graft urethroplasty Dorsal onlay Panurethral stricture Stricture urethra Ventral onlay Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/8f7939b235974dabb924cabad4474109
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spelling	oai:doaj.org-article:8f7939b235974dabb924cabad44741092021-12-02T12:02:03ZRepair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty2090-598X10.1016/j.aju.2017.11.007https://doaj.org/article/8f7939b235974dabb924cabad44741092018-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17301419https://doaj.org/toc/2090-598XObjective: To report the surgical details and results of our technique of buccal mucosal graft (BMG) urethroplasty for panurethral stricture, as many studies have reported repair of panurethral stricture by single-stage BMG urethroplasty by placing buccal mucosa ventrally, dorsally or dorsolaterally. Patients and methods: This was an observational analysis of 38 patients with panurethral stricture treated by placing two BMGs, one as a ventral onlay in the proximal bulbar urethra and the other as a dorsal onlay in the distal bulbar and penile urethra. Success was defined as asymptomatic state with or without need for a postoperative single intervention such as dilatation or internal urethrotomy. Results: The 38 patients had a mean age of 44 years, with lichen sclerosus as the predominant cause of stricture. The ultimate success rate was 84.2% at the end of 3 months and 89.5% at the end of 1 year. Recurrent strictures appeared only in the failed cases during the follow-up period of 11 months. None of the patients needed redo urethroplasty during the follow-up period. Conclusions: A proximal ventral and distal dorsal onlay technique of BMG urethroplasty is an available alternative for repairing panurethral stricture. The technique described is simple and easily reproducible with encouraging results compared to other similar techniques.Subbarao ChodisettiYogesh BoddepalliMalakondareddy KotaTaylor & Francis GrouparticleBuccal mucosal graft urethroplastyDorsal onlayPanurethral strictureStricture urethraVentral onlayDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 2, Pp 211-216 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Buccal mucosal graft urethroplasty Dorsal onlay Panurethral stricture Stricture urethra Ventral onlay Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Buccal mucosal graft urethroplasty Dorsal onlay Panurethral stricture Stricture urethra Ventral onlay Diseases of the genitourinary system. Urology RC870-923 Subbarao Chodisetti Yogesh Boddepalli Malakondareddy Kota Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
description	Objective: To report the surgical details and results of our technique of buccal mucosal graft (BMG) urethroplasty for panurethral stricture, as many studies have reported repair of panurethral stricture by single-stage BMG urethroplasty by placing buccal mucosa ventrally, dorsally or dorsolaterally. Patients and methods: This was an observational analysis of 38 patients with panurethral stricture treated by placing two BMGs, one as a ventral onlay in the proximal bulbar urethra and the other as a dorsal onlay in the distal bulbar and penile urethra. Success was defined as asymptomatic state with or without need for a postoperative single intervention such as dilatation or internal urethrotomy. Results: The 38 patients had a mean age of 44 years, with lichen sclerosus as the predominant cause of stricture. The ultimate success rate was 84.2% at the end of 3 months and 89.5% at the end of 1 year. Recurrent strictures appeared only in the failed cases during the follow-up period of 11 months. None of the patients needed redo urethroplasty during the follow-up period. Conclusions: A proximal ventral and distal dorsal onlay technique of BMG urethroplasty is an available alternative for repairing panurethral stricture. The technique described is simple and easily reproducible with encouraging results compared to other similar techniques.
format	article
author	Subbarao Chodisetti Yogesh Boddepalli Malakondareddy Kota
author_facet	Subbarao Chodisetti Yogesh Boddepalli Malakondareddy Kota
author_sort	Subbarao Chodisetti
title	Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
title_short	Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
title_full	Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
title_fullStr	Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
title_full_unstemmed	Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
title_sort	repair of panurethral stricture: proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/8f7939b235974dabb924cabad4474109
work_keys_str_mv	AT subbaraochodisetti repairofpanurethralstrictureproximalventralanddistaldorsalonlaytechniqueofbuccalmucosalgrafturethroplasty AT yogeshboddepalli repairofpanurethralstrictureproximalventralanddistaldorsalonlaytechniqueofbuccalmucosalgrafturethroplasty AT malakondareddykota repairofpanurethralstrictureproximalventralanddistaldorsalonlaytechniqueofbuccalmucosalgrafturethroplasty
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Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty

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