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Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients

OBJECTIVE: To present the outcome of dorsal onlay urethroplasty in 73 patients for stricture urethra over a period of eight years. MATERIALS AND METHODS: Seventy-three patients of stricture urethra have undergone dorsal onlay urethroplasty from July 1998 to February 2006. Age distribution: 14-58 yea...

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Autores principales: Bapat, Shivadeo S., Padhye, Abhijit S., Yadav, Pushkaraj B., Bhave, Ashish A.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721565/
https://www.ncbi.nlm.nih.gov/pubmed/19718289
http://dx.doi.org/10.4103/0970-1591.36706
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author Bapat, Shivadeo S.
Padhye, Abhijit S.
Yadav, Pushkaraj B.
Bhave, Ashish A.
author_facet Bapat, Shivadeo S.
Padhye, Abhijit S.
Yadav, Pushkaraj B.
Bhave, Ashish A.
author_sort Bapat, Shivadeo S.
collection PubMed
description OBJECTIVE: To present the outcome of dorsal onlay urethroplasty in 73 patients for stricture urethra over a period of eight years. MATERIALS AND METHODS: Seventy-three patients of stricture urethra have undergone dorsal onlay urethroplasty from July 1998 to February 2006. Age distribution: 14-58 years. Etiology: Trauma 20/73 (27.39%), Balanitis Xerotica Obliterans 2/73 (2.73%), Iatrogenic 26/73(35.61%), Infection 3/73 (4.10%), Idiopathic 22/73 (30.13%). Site: Penobulbar-25/73, bulbar-38/73, membranous-8/73 and long length-2/73. Suprapubic catheter was inserted preoperatively: 21/73 patients. Preputial / distal penile skin was used in all patients. Buccal mucosa was not used in any patient. Hospitalization was for four to five days. Catheter was removed after 21 days. All patients had their first endoscopic checkup after three months. Subsequently they were followed up by uroflometry. Routine imaging of urethra for follow-up was not carried out. RESULTS: 63/73 (86.30%) patients had satisfactory outcome not requiring any further treatment, 8/73 (10.95%) developed anastomotic stricture (3/8-optical internal urethrotomy, 5/8 dilatation alone). 2/73 (2.75%) developed external meatal stenosis. None had urinary fistula and required repeat urethroplasty. Follow-up ranged from three months to eight years. CONCLUSION: Dorsal onlay urethroplasty using preputial/distal penile skin is a satisfactory procedure. Preputial/distal penile skin is devoid of hair and fat and hence an ideal graft material. Even in circumscribed patients distal penile skin can be harvested. Long-term follow-up is required in judging results of patients with stricture urethra.
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spelling pubmed-27215652009-08-29 Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients Bapat, Shivadeo S. Padhye, Abhijit S. Yadav, Pushkaraj B. Bhave, Ashish A. Indian J Urol Original Article OBJECTIVE: To present the outcome of dorsal onlay urethroplasty in 73 patients for stricture urethra over a period of eight years. MATERIALS AND METHODS: Seventy-three patients of stricture urethra have undergone dorsal onlay urethroplasty from July 1998 to February 2006. Age distribution: 14-58 years. Etiology: Trauma 20/73 (27.39%), Balanitis Xerotica Obliterans 2/73 (2.73%), Iatrogenic 26/73(35.61%), Infection 3/73 (4.10%), Idiopathic 22/73 (30.13%). Site: Penobulbar-25/73, bulbar-38/73, membranous-8/73 and long length-2/73. Suprapubic catheter was inserted preoperatively: 21/73 patients. Preputial / distal penile skin was used in all patients. Buccal mucosa was not used in any patient. Hospitalization was for four to five days. Catheter was removed after 21 days. All patients had their first endoscopic checkup after three months. Subsequently they were followed up by uroflometry. Routine imaging of urethra for follow-up was not carried out. RESULTS: 63/73 (86.30%) patients had satisfactory outcome not requiring any further treatment, 8/73 (10.95%) developed anastomotic stricture (3/8-optical internal urethrotomy, 5/8 dilatation alone). 2/73 (2.75%) developed external meatal stenosis. None had urinary fistula and required repeat urethroplasty. Follow-up ranged from three months to eight years. CONCLUSION: Dorsal onlay urethroplasty using preputial/distal penile skin is a satisfactory procedure. Preputial/distal penile skin is devoid of hair and fat and hence an ideal graft material. Even in circumscribed patients distal penile skin can be harvested. Long-term follow-up is required in judging results of patients with stricture urethra. Medknow Publications 2007 /pmc/articles/PMC2721565/ /pubmed/19718289 http://dx.doi.org/10.4103/0970-1591.36706 Text en © Indian Journal of Urology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bapat, Shivadeo S.
Padhye, Abhijit S.
Yadav, Pushkaraj B.
Bhave, Ashish A.
Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title_full Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title_fullStr Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title_full_unstemmed Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title_short Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients
title_sort preputial skin free graft as dorsal onlay urethroplasty: our experience of 73 patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721565/
https://www.ncbi.nlm.nih.gov/pubmed/19718289
http://dx.doi.org/10.4103/0970-1591.36706
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