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Related Experiment Videos

Bulbar urethroplasty using the dorsal approach: current techniques.

Guido Barbagli1, Enzo Palminteri, Giorgio Guazzoni

  • 1Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|March 5, 2005
PubMed
Summary

Dorsal onlay graft urethroplasty, also known as the Barbagli technique, offers a versatile solution for complex urethral strictures using various graft materials. This procedure has gained significant recognition in Europe and the United States.

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Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Background:

  • Complex and long urethral strictures necessitate the use of flaps or grafts for successful reconstruction.
  • The dorsal onlay graft urethroplasty technique was initially described in 1995-96 and has since been refined.
  • This procedure, also referred to as the Barbagli technique, has garnered considerable interest globally.

Purpose of the Study:

  • To detail the surgical technique of dorsal onlay graft urethroplasty.
  • To highlight the versatility of the Barbagli technique in treating urethral strictures.

Main Methods:

  • The technique involves mobilizing the bulbar urethra, rotating it 180 degrees, and incising its dorsal surface.
  • A graft (preputial skin or buccal mucosa) or flap is secured to the corpora cavernosa.

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  • The urethra is re-approximated over the graft, with muscles approximated for coverage.

    • Main Results:

    • The dorsal onlay graft urethroplasty allows for the incorporation of various graft materials.
    • The technique facilitates the reconstruction of complex urethral strictures.

    Conclusions:

    • Dorsal onlay graft urethroplasty is a versatile and adaptable surgical procedure.
    • It can be effectively combined with different graft materials, including preputial skin, buccal mucosa, and pedicled flaps.