Journal article
Urethroplasty With Abdominal Skin Grafts for Long Segment Urethral Strictures
The Journal of urology, Vol.183(5), pp.1880-1884
2010
DOI: 10.1016/j.juro.2010.01.029
PMID: 20303098
Abstract
Buccal derived graft tissue has been proven to be useful in urethral reconstruction. However, nonbuccal sources are often needed for long segment strictures or for those with prior buccal harvest. We describe a technique using full-thickness abdominal skin grafts for long segment urethroplasty and present the short-term outcomes.
A total of 21 men underwent urethroplasty for strictures of an average of 11 cm (range 4 to 24) using abdominal wall skin. Prior urethroplasty was performed in 52% of patients and multistage repair was conducted in 48%.
The recurrence rate following urethroplasty was 19%, with 9.5% requiring revision after first stage urethroplasty. Complications included hair from the skin graft during the early part of the series (14.5%), glans dehiscence (9.5%), urethrocutaneous fistula (9.5%) and periurethral abscess (1 patient). Histological evaluation at 6 months demonstrated excellent uptake of grafts with minimal keratinization.
In men with significant penile scarring, lichen sclerosis and long segment urethral strictures the use of abdominal skin limits donor site morbidity, and provides a useful alternative graft source for urethroplasty when buccal mucosa or genital skin are not available or sufficient. Grafts should be harvested from nonhair bearing areas to minimize the risk of urethral hair development.
Details
- Title: Subtitle
- Urethroplasty With Abdominal Skin Grafts for Long Segment Urethral Strictures
- Creators
- Joshua J Meeks - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, IllinoisBradley A Erickson - Department of Urology, University of California San Francisco, San Francisco, CaliforniaPhilip Fetchev - Department of Surgery, NorthShore University Hospital, Evanston, IllinoisSusan E Crawford - Department of Surgery, NorthShore University Hospital, Evanston, IllinoisNeil A Fine - Division of Plastic Surgery, Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IllinoisChris M Gonzalez - Department of Urology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.183(5), pp.1880-1884
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.juro.2010.01.029
- PMID
- 20303098
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Grant note
- AUA Foundation
- Language
- English
- Date published
- 2010
- Academic Unit
- Urology
- Record Identifier
- 9984051984202771
Metrics
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