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 y...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2007-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=4;spage=366;epage=368;aulast=Bapat |
| _version_ | 1818147113584820224 |
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| author | Shivadeo S Bapat Abhijit S Padhye Pushkaraj B Yadav Ashish A Bhave |
| author_facet | Shivadeo S Bapat Abhijit S Padhye Pushkaraj B Yadav Ashish A Bhave |
| author_sort | Shivadeo S Bapat |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-11T12:30:05Z |
| format | Article |
| id | doaj.art-2d58077047254e9794bee3ae33b7a461 |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-11T12:30:05Z |
| publishDate | 2007-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-2d58077047254e9794bee3ae33b7a4612022-12-22T01:07:16ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242007-01-0123436636810.4103/0970-1591.36706Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patientsShivadeo S BapatAbhijit S PadhyePushkaraj B YadavAshish A BhaveObjective: 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.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=4;spage=366;epage=368;aulast=BapatDorsal onlay urethroplasty |
| spellingShingle | Shivadeo S Bapat Abhijit S Padhye Pushkaraj B Yadav Ashish A Bhave Preputial skin free graft as dorsal onlay urethroplasty: Our experience of 73 patients Indian Journal of Urology Dorsal onlay urethroplasty |
| 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 | Dorsal onlay urethroplasty |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=4;spage=366;epage=368;aulast=Bapat |
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