Single-stage reconstruction of complex anterior urethral strictures using overlapping dorsal and ventral buccal mucosal grafts

Steven J. Hudak, Jessica D. Lubahn, Sanjay Kulkarni, Allen F. Morey

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective To review our initial experience with single-stage overlapping dorsal and ventral buccal mucosa graft (BMG) urethroplasty for the reconstruction of complex anterior urethral strictures. Patients and Methods Among 696 urethroplasties performed at two tertiary urethroplasty centres from October 2007 to September 2010, single-stage urethral reconstruction using urethral plate incision and/or excision and overlapping dorsal and ventral BMGs was used in 36 men (5%) with complex urethral strictures (mean length 4.5 cm). Demographic and perioperative data was tabulated and outcomes were analysed. Results Stricture location was bulbar (61%), penile (19%), or both bulbar and penile (20%). Dorsal grafts, applied only within the most severely strictured segment, measured a mean 42% of the opposing ventral graft length. At a mean follow-up of 15.7 months, 32 of the 36 cases were successful (89%). Repeat urethroplasty was performed in all four recurrences, three of which were successful at a mean follow-up of 16 months. Conclusion Single-stage reconstruction of focally obliterative long urethral strictures using overlapping dorsal and ventral BMGs is safe and effective.

Original languageEnglish (US)
Pages (from-to)592-596
Number of pages5
JournalBJU International
Volume110
Issue number4
DOIs
StatePublished - Aug 2012

Fingerprint

Urethral Stricture
Cheek
Transplants
Mouth Mucosa
Pathologic Constriction
Demography
Recurrence

Keywords

  • buccal mucosa
  • grafts
  • urethra
  • urethral stricture

ASJC Scopus subject areas

  • Urology

Cite this

Single-stage reconstruction of complex anterior urethral strictures using overlapping dorsal and ventral buccal mucosal grafts. / Hudak, Steven J.; Lubahn, Jessica D.; Kulkarni, Sanjay; Morey, Allen F.

In: BJU International, Vol. 110, No. 4, 08.2012, p. 592-596.

Research output: Contribution to journalArticle

@article{a169e87667234cf4970e485ae331a86e,
title = "Single-stage reconstruction of complex anterior urethral strictures using overlapping dorsal and ventral buccal mucosal grafts",
abstract = "Objective To review our initial experience with single-stage overlapping dorsal and ventral buccal mucosa graft (BMG) urethroplasty for the reconstruction of complex anterior urethral strictures. Patients and Methods Among 696 urethroplasties performed at two tertiary urethroplasty centres from October 2007 to September 2010, single-stage urethral reconstruction using urethral plate incision and/or excision and overlapping dorsal and ventral BMGs was used in 36 men (5{\%}) with complex urethral strictures (mean length 4.5 cm). Demographic and perioperative data was tabulated and outcomes were analysed. Results Stricture location was bulbar (61{\%}), penile (19{\%}), or both bulbar and penile (20{\%}). Dorsal grafts, applied only within the most severely strictured segment, measured a mean 42{\%} of the opposing ventral graft length. At a mean follow-up of 15.7 months, 32 of the 36 cases were successful (89{\%}). Repeat urethroplasty was performed in all four recurrences, three of which were successful at a mean follow-up of 16 months. Conclusion Single-stage reconstruction of focally obliterative long urethral strictures using overlapping dorsal and ventral BMGs is safe and effective.",
keywords = "buccal mucosa, grafts, urethra, urethral stricture",
author = "Hudak, {Steven J.} and Lubahn, {Jessica D.} and Sanjay Kulkarni and Morey, {Allen F.}",
year = "2012",
month = "8",
doi = "10.1111/j.1464-410X.2011.10787.x",
language = "English (US)",
volume = "110",
pages = "592--596",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Single-stage reconstruction of complex anterior urethral strictures using overlapping dorsal and ventral buccal mucosal grafts

AU - Hudak, Steven J.

AU - Lubahn, Jessica D.

AU - Kulkarni, Sanjay

AU - Morey, Allen F.

PY - 2012/8

Y1 - 2012/8

N2 - Objective To review our initial experience with single-stage overlapping dorsal and ventral buccal mucosa graft (BMG) urethroplasty for the reconstruction of complex anterior urethral strictures. Patients and Methods Among 696 urethroplasties performed at two tertiary urethroplasty centres from October 2007 to September 2010, single-stage urethral reconstruction using urethral plate incision and/or excision and overlapping dorsal and ventral BMGs was used in 36 men (5%) with complex urethral strictures (mean length 4.5 cm). Demographic and perioperative data was tabulated and outcomes were analysed. Results Stricture location was bulbar (61%), penile (19%), or both bulbar and penile (20%). Dorsal grafts, applied only within the most severely strictured segment, measured a mean 42% of the opposing ventral graft length. At a mean follow-up of 15.7 months, 32 of the 36 cases were successful (89%). Repeat urethroplasty was performed in all four recurrences, three of which were successful at a mean follow-up of 16 months. Conclusion Single-stage reconstruction of focally obliterative long urethral strictures using overlapping dorsal and ventral BMGs is safe and effective.

AB - Objective To review our initial experience with single-stage overlapping dorsal and ventral buccal mucosa graft (BMG) urethroplasty for the reconstruction of complex anterior urethral strictures. Patients and Methods Among 696 urethroplasties performed at two tertiary urethroplasty centres from October 2007 to September 2010, single-stage urethral reconstruction using urethral plate incision and/or excision and overlapping dorsal and ventral BMGs was used in 36 men (5%) with complex urethral strictures (mean length 4.5 cm). Demographic and perioperative data was tabulated and outcomes were analysed. Results Stricture location was bulbar (61%), penile (19%), or both bulbar and penile (20%). Dorsal grafts, applied only within the most severely strictured segment, measured a mean 42% of the opposing ventral graft length. At a mean follow-up of 15.7 months, 32 of the 36 cases were successful (89%). Repeat urethroplasty was performed in all four recurrences, three of which were successful at a mean follow-up of 16 months. Conclusion Single-stage reconstruction of focally obliterative long urethral strictures using overlapping dorsal and ventral BMGs is safe and effective.

KW - buccal mucosa

KW - grafts

KW - urethra

KW - urethral stricture

UR - http://www.scopus.com/inward/record.url?scp=84864429416&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864429416&partnerID=8YFLogxK

U2 - 10.1111/j.1464-410X.2011.10787.x

DO - 10.1111/j.1464-410X.2011.10787.x

M3 - Article

C2 - 22192812

AN - SCOPUS:84864429416

VL - 110

SP - 592

EP - 596

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 4

ER -