Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach
Context: For management of long segment anterior urethral stricture, dorsal onlay urethroplasty is currently the most favored single-stage procedure. Conventional dorsal onlay urethroplasty requires circumferential mobilization of the urethra, which might cause ischemia of the urethra in addition t...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=2;spage=211;epage=214;aulast=Singh |
| _version_ | 1819294091858411520 |
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| author | Bhupendra P Singh Hemant R Pathak Mukund G Andankar |
| author_facet | Bhupendra P Singh Hemant R Pathak Mukund G Andankar |
| author_sort | Bhupendra P Singh |
| collection | DOAJ |
| description | Context: For management of long segment anterior urethral stricture, dorsal onlay urethroplasty is currently the most favored single-stage procedure. Conventional dorsal onlay urethroplasty requires circumferential mobilization of the urethra, which might cause ischemia of the urethra in addition to chordee.
Aims: To determine the feasibility and short-term outcomes of applying a dorsolateral free graft to treat anterior urethral stricture by unilateral urethral mobilization through a perineal approach.
Settings and Design: A prospective study from September 2005 to March 2008 in a tertiary care teaching hospital.
Materials and Methods: Seventeen patients with long or multiple strictures of the anterior urethra were treated by a dorsolateral free buccal mucosa graft. The pendulous urethra was accessed by penile eversion through the perineal wound. The urethra was not separated from the corporal bodies on one side and was only mobilized from the midline on the ventral aspect to beyond the midline on the dorsal aspect. The urethra was opened in the dorsal midline over the stricture. The buccal mucosa graft was secured on the ventral tunica of the corporal bodies.
Statistical Analysis Used: Mean and median.
Results: After a follow-up of 12-30 months, one recurrence developed and 1 patient needed an internal urethrotomy.
Conclusions: A unilateral urethral mobilization approach for dorsolateral free graft urethroplasty is feasible for panurethral strictures of any length with good short-term success. |
| first_indexed | 2024-12-24T04:20:49Z |
| format | Article |
| id | doaj.art-59bf2ed2211348bcbf498a8770f9777d |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-24T04:20:49Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-59bf2ed2211348bcbf498a8770f9777d2022-12-21T17:15:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242009-01-0125221121410.4103/0970-1591.52919Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approachBhupendra P SinghHemant R PathakMukund G AndankarContext: For management of long segment anterior urethral stricture, dorsal onlay urethroplasty is currently the most favored single-stage procedure. Conventional dorsal onlay urethroplasty requires circumferential mobilization of the urethra, which might cause ischemia of the urethra in addition to chordee. Aims: To determine the feasibility and short-term outcomes of applying a dorsolateral free graft to treat anterior urethral stricture by unilateral urethral mobilization through a perineal approach. Settings and Design: A prospective study from September 2005 to March 2008 in a tertiary care teaching hospital. Materials and Methods: Seventeen patients with long or multiple strictures of the anterior urethra were treated by a dorsolateral free buccal mucosa graft. The pendulous urethra was accessed by penile eversion through the perineal wound. The urethra was not separated from the corporal bodies on one side and was only mobilized from the midline on the ventral aspect to beyond the midline on the dorsal aspect. The urethra was opened in the dorsal midline over the stricture. The buccal mucosa graft was secured on the ventral tunica of the corporal bodies. Statistical Analysis Used: Mean and median. Results: After a follow-up of 12-30 months, one recurrence developed and 1 patient needed an internal urethrotomy. Conclusions: A unilateral urethral mobilization approach for dorsolateral free graft urethroplasty is feasible for panurethral strictures of any length with good short-term success.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=2;spage=211;epage=214;aulast=SinghOnlay patchstricture urethraurethroplasty |
| spellingShingle | Bhupendra P Singh Hemant R Pathak Mukund G Andankar Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach Indian Journal of Urology Onlay patch stricture urethra urethroplasty |
| title | Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| title_full | Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| title_fullStr | Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| title_full_unstemmed | Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| title_short | Dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| title_sort | dorsolateral onlay urethroplasty for anterior urethral strictures by a unilateral urethral mobilization approach |
| topic | Onlay patch stricture urethra urethroplasty |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2009;volume=25;issue=2;spage=211;epage=214;aulast=Singh |
| work_keys_str_mv | AT bhupendrapsingh dorsolateralonlayurethroplastyforanteriorurethralstricturesbyaunilateralurethralmobilizationapproach AT hemantrpathak dorsolateralonlayurethroplastyforanteriorurethralstricturesbyaunilateralurethralmobilizationapproach AT mukundgandankar dorsolateralonlayurethroplastyforanteriorurethralstricturesbyaunilateralurethralmobilizationapproach |