One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair
The aim of this study was to retrospectively investigate the outcomes of patients who underwent one-stage onlay or inlay urethroplasty using a lingual mucosal graft (LMG) after failed hypospadias repairs. Inclusion criteria included a history of failed hypospadias repair, insufficiency of the local...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Asian Journal of Andrology |
| Subjects: | |
| Online Access: | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=3;spage=467;epage=470;aulast=Li |
| _version_ | 1818614424320081920 |
|---|---|
| author | Hong-Bin Li Yue-Min Xu Qiang Fu Ying-Long Sa Jiong Zhang Hong Xie |
| author_facet | Hong-Bin Li Yue-Min Xu Qiang Fu Ying-Long Sa Jiong Zhang Hong Xie |
| author_sort | Hong-Bin Li |
| collection | DOAJ |
| description | The aim of this study was to retrospectively investigate the outcomes of patients who underwent one-stage onlay or inlay urethroplasty using a lingual mucosal graft (LMG) after failed hypospadias repairs. Inclusion criteria included a history of failed hypospadias repair, insufficiency of the local skin that made a reoperation with skin flaps difficult, and necessity of an oral mucosal graft urethroplasty. Patients were excluded if they had undergone a failed hypospadias repair using the foreskin or a multistage repair urethroplasty. Between January 2008 and December 2012, 110 patients with failed hypospadias repairs were treated in our center. Of these patients, 56 underwent a one-stage onlay or inlay urethroplasty using LMG. The median age was 21.8 years (range: 4-45 years). Of the 56 patients, one-stage onlay LMG urethroplasty was performed in 42 patients (group 1), and a modified Snodgrass technique using one-stage inlay LMG urethroplasty was performed in 14 (group 2). The median LMG urethroplasty length was 5.6 ± 1.6 cm (range: 4-13 cm). The mean follow-up was 34.7 months (range: 10-58 months), and complications developed in 12 of 56 patients (21.4%), including urethrocutaneous fistulas in 7 (6 in group 1, 1 in group 2) and neourethral strictures in 5 (4 in group 1, 1 in group 2). The total success rate was 78.6%. Our survey suggests that one-stage onlay or inlay urethroplasty with LMG may be an effective option to treat the patients with less available skin after failed hypospadias repairs; LMG harvesting is easy and safe, irrespective of the patient′s age. |
| first_indexed | 2024-12-16T16:17:47Z |
| format | Article |
| id | doaj.art-045a43fad10c4bd386de656c82422c18 |
| institution | Directory Open Access Journal |
| issn | 1008-682X 1745-7262 |
| language | English |
| last_indexed | 2024-12-16T16:17:47Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Andrology |
| spelling | doaj.art-045a43fad10c4bd386de656c82422c182022-12-21T22:25:02ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622016-01-0118346747010.4103/1008-682X.157545One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repairHong-Bin LiYue-Min XuQiang FuYing-Long SaJiong ZhangHong XieThe aim of this study was to retrospectively investigate the outcomes of patients who underwent one-stage onlay or inlay urethroplasty using a lingual mucosal graft (LMG) after failed hypospadias repairs. Inclusion criteria included a history of failed hypospadias repair, insufficiency of the local skin that made a reoperation with skin flaps difficult, and necessity of an oral mucosal graft urethroplasty. Patients were excluded if they had undergone a failed hypospadias repair using the foreskin or a multistage repair urethroplasty. Between January 2008 and December 2012, 110 patients with failed hypospadias repairs were treated in our center. Of these patients, 56 underwent a one-stage onlay or inlay urethroplasty using LMG. The median age was 21.8 years (range: 4-45 years). Of the 56 patients, one-stage onlay LMG urethroplasty was performed in 42 patients (group 1), and a modified Snodgrass technique using one-stage inlay LMG urethroplasty was performed in 14 (group 2). The median LMG urethroplasty length was 5.6 ± 1.6 cm (range: 4-13 cm). The mean follow-up was 34.7 months (range: 10-58 months), and complications developed in 12 of 56 patients (21.4%), including urethrocutaneous fistulas in 7 (6 in group 1, 1 in group 2) and neourethral strictures in 5 (4 in group 1, 1 in group 2). The total success rate was 78.6%. Our survey suggests that one-stage onlay or inlay urethroplasty with LMG may be an effective option to treat the patients with less available skin after failed hypospadias repairs; LMG harvesting is easy and safe, irrespective of the patient′s age.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=3;spage=467;epage=470;aulast=Lifailed repair; hypospadias; lingual mucosa graft; urethroplasty |
| spellingShingle | Hong-Bin Li Yue-Min Xu Qiang Fu Ying-Long Sa Jiong Zhang Hong Xie One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair Asian Journal of Andrology failed repair; hypospadias; lingual mucosa graft; urethroplasty |
| title | One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| title_full | One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| title_fullStr | One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| title_full_unstemmed | One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| title_short | One-stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| title_sort | one stage dorsal lingual mucosal graft urethroplasty for the treatment of failed hypospadias repair |
| topic | failed repair; hypospadias; lingual mucosa graft; urethroplasty |
| url | http://www.ajandrology.com/article.asp?issn=1008-682X;year=2016;volume=18;issue=3;spage=467;epage=470;aulast=Li |
| work_keys_str_mv | AT hongbinli onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair AT yueminxu onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair AT qiangfu onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair AT yinglongsa onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair AT jiongzhang onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair AT hongxie onestagedorsallingualmucosalgrafturethroplastyforthetreatmentoffailedhypospadiasrepair |