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.

Kulkarni dorsolateral Graft Urethroplasty Using Penile Skin / Palminteri, Enzo; Berdondini, Elisa; Lumen, Nicolaas; Maruccia, Serena; Florio, Mirko; Franco, Giorgio; Montanaro, Vittorino; DI PIERRO, GIOVANNI BATTISTA. - In: UROLOGY. - ISSN 0090-4295. - STAMPA. - 90:(2016), pp. 179-183. [10.1016/j.urology.2015.12.014]

Kulkarni dorsolateral Graft Urethroplasty Using Penile Skin

FRANCO, Giorgio;DI PIERRO, GIOVANNI BATTISTA
2016

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.
2016
foreskin; humans; male; middle aged; retrospective studies; treatment outcome; urethra; urethral stricture; urologic surgical procedures, male; urology
01 Pubblicazione su rivista::01a Articolo in rivista
Kulkarni dorsolateral Graft Urethroplasty Using Penile Skin / Palminteri, Enzo; Berdondini, Elisa; Lumen, Nicolaas; Maruccia, Serena; Florio, Mirko; Franco, Giorgio; Montanaro, Vittorino; DI PIERRO, GIOVANNI BATTISTA. - In: UROLOGY. - ISSN 0090-4295. - STAMPA. - 90:(2016), pp. 179-183. [10.1016/j.urology.2015.12.014]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/963009
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