Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias
<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Introduction: </strong>Urethral recons...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2005-05-01
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| Series: | Urology Journal |
| Online Access: | http://www.urologyjournal.org/index.php/uj/article/view/261/250 |
| _version_ | 1828202395098677248 |
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| author | Alireza Amin-Sharifi Payman Hekmati Darioush Irani |
| author_facet | Alireza Amin-Sharifi Payman Hekmati Darioush Irani |
| author_sort | Alireza Amin-Sharifi |
| collection | DOAJ |
| description | <p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Introduction: </strong>Urethral reconstruction in complex hypospadias poses a significant challenge. We report our experience using buccal mucosa to repair complex hypospadias.<span style="mso-spacerun: yes;"> </span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; tab-stops: right 337.0pt 368.5pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods: </strong><span style="color: black;">From February 2001 to September 2003, 16 urethral reconstructions were performed using buccal mucosal graft. Twelve of the patients had previously failed urethroplasties, while the other 4 had perineal or scrotal hypospadias. Grafts were harvested from the lower lip. Onlay grafts were used in 8 cases, and tubularized grafts were used for the others. </span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; tab-stops: right 337.0pt 368.5pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Results: </span></strong><span style="color: black;">After 14 to 27 months’ follow-up, 11 of 16 (69%) patients developed complications, including meatal stenosis in 2 (12.5%), urethral stricture in 5 (31%), and<span style="mso-spacerun: yes;"> </span>urethrocutaneous fistula in 4 (25%). No oral complications were seen, and all of the urethroplasty complications were managed successfully.<span style="mso-spacerun: yes;"> </span></span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; mso-layout-grid-align: none;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Conclusion:</span></strong><span style="color: black;"> Urethroplasty using a buccal mucosal graft may be accompanied by a relatively high complication rate, which is more common in patients with tubularized graft; however, all complications can be managed successfully. We believe that urethroplasty using buccal mucosal graft in complex hypospadias is an acceptable treatment modality.</span></span></span></p> |
| first_indexed | 2024-04-12T11:47:20Z |
| format | Article |
| id | doaj.art-870aec6232e14474b43bbfae21ff2fd9 |
| institution | Directory Open Access Journal |
| issn | 1735-1308 1735-546X |
| language | English |
| last_indexed | 2024-04-12T11:47:20Z |
| publishDate | 2005-05-01 |
| publisher | Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Urology Journal |
| spelling | doaj.art-870aec6232e14474b43bbfae21ff2fd92022-12-22T03:34:17ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2005-05-0122111114Results of Buccal Mucosal Graft Urethroplasty in Complex HypospadiasAlireza Amin-SharifiPayman HekmatiDarioush Irani<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Introduction: </strong>Urethral reconstruction in complex hypospadias poses a significant challenge. We report our experience using buccal mucosa to repair complex hypospadias.<span style="mso-spacerun: yes;"> </span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; tab-stops: right 337.0pt 368.5pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods: </strong><span style="color: black;">From February 2001 to September 2003, 16 urethral reconstructions were performed using buccal mucosal graft. Twelve of the patients had previously failed urethroplasties, while the other 4 had perineal or scrotal hypospadias. Grafts were harvested from the lower lip. Onlay grafts were used in 8 cases, and tubularized grafts were used for the others. </span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; tab-stops: right 337.0pt 368.5pt;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Results: </span></strong><span style="color: black;">After 14 to 27 months’ follow-up, 11 of 16 (69%) patients developed complications, including meatal stenosis in 2 (12.5%), urethral stricture in 5 (31%), and<span style="mso-spacerun: yes;"> </span>urethrocutaneous fistula in 4 (25%). No oral complications were seen, and all of the urethroplasty complications were managed successfully.<span style="mso-spacerun: yes;"> </span></span></span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: justify; mso-layout-grid-align: none;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="color: black;">Conclusion:</span></strong><span style="color: black;"> Urethroplasty using a buccal mucosal graft may be accompanied by a relatively high complication rate, which is more common in patients with tubularized graft; however, all complications can be managed successfully. We believe that urethroplasty using buccal mucosal graft in complex hypospadias is an acceptable treatment modality.</span></span></span></p>http://www.urologyjournal.org/index.php/uj/article/view/261/250 |
| spellingShingle | Alireza Amin-Sharifi Payman Hekmati Darioush Irani Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias Urology Journal |
| title | Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias |
| title_full | Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias |
| title_fullStr | Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias |
| title_full_unstemmed | Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias |
| title_short | Results of Buccal Mucosal Graft Urethroplasty in Complex Hypospadias |
| title_sort | results of buccal mucosal graft urethroplasty in complex hypospadias |
| url | http://www.urologyjournal.org/index.php/uj/article/view/261/250 |
| work_keys_str_mv | AT alirezaaminsharifi resultsofbuccalmucosalgrafturethroplastyincomplexhypospadias AT paymanhekmati resultsofbuccalmucosalgrafturethroplastyincomplexhypospadias AT darioushirani resultsofbuccalmucosalgrafturethroplastyincomplexhypospadias |