Single-stage segmental urethral replacement using combined ventral onlay fasciocutaneous flap with dorsal onlay buccal grafting for long segment strictures

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Single stage: dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures using perineal route

OBJECTIVE To assess the outcome of single stage dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures (>4cm long) using a perineal incision. MATERIALS AND METHODS From August 2010 to August 2013, 20 patients underwent BMG urethroplasty. The cause of stricture was Lichen sclerosis in 12 cases (60%), Instrumentation in 5 cases (25%), and unknown in 3 cases (15%)....

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Long-Term Outcomes of Single Stage Dorsal Onlay Buccal Mucosa Urethroplasty for Different Anterior Urethral Strictures: A Prospective Study

Surgical treatment of urethral strictures is a continually evolving process, and currently there is renewed controversy over the best means of urethral reconstruction. Buccal mucosa graft (BMG) has gained much interest because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use [1,2]. A number of series reported success rate of 87-90% usi...

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Fasciocutaneous flap reinforcement of ventral onlay buccal mucosa grafts enables neophallus revision urethroplasty.

BACKGROUND Urethral strictures or fistulas are common complications after phalloplasty. Neourethral defects pose a difficult reconstructive challenge using standard techniques as there is generally insufficient ventral tissue to support a graft urethroplasty. We report our experience with local fasciocutaneous flaps for support of ventrally-placed buccal mucosal grafts (BMGs) in phalloplasty. ...

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Dorsal onlay urethroplasty using buccal mucosa graft versus penile skin flap for management of long anterior urethral strictures: a prospective randomized study.

OBJECTIVE The aim of this study was to compare the outcomes of dorsal onlay urethroplasty using buccal mucosa graft (BMG) versus penile skin flap (PSF) in the repair of long anterior urethral strictures. MATERIAL AND METHODS Patients with long anterior urethral strictures were randomized to receive either dorsal onlay BMG urethroplasty or PSF urethroplasty. All patients were evaluated preoper...

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Bulbar urethroplasty using combined dorsal cum ventral onlay buccal mucosa graft: a novel technique.

Dear Editor, In urethral stricture disease, it is known that anastomostic urethroplasty with complete excision of scar tissue provide the best long-term outcome for short bulbar urethral strictures. Longer strictures are dealt with by onlay urethroplasties employing tissue substitution, using either flaps or grafts. In recent times, the buccal mucosa graft, whether laid dorsally or ventrally, h...

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ژورنال

عنوان ژورنال: BJU International

سال: 2011

ISSN: 1464-4096

DOI: 10.1111/j.1464-410x.2011.10483.x