Technique of anterior urethroplasty using the tunica albuginea of the corpora cavernosa
Mathur Raj Kumar1, Aggarwal Himanshu, Odiya Sudarshan
1Department of Surgery, MGM Medical College and MYH Groups of Hospitals, Indore, Madhya Pradesh, India. rkmmyh60@yahoo.com
Objective:
To describe a technique of anterior urethroplasty using the tunica albuginea of the corpora cavernosa.
Methods:
We performed this technique on 99 male patients with anterior urethral stricture with follow-up at 6, 12 and 18 months. We assessed preoperative and postoperative patient satisfaction rate based on symptoms along with preoperative and postoperative urethrograms, urethrosonographies and uroflowmetry and labelled outcomes as good, fair and poor.
Results:
Good and fair results were considered successful. The overall success rate was 95.9%. In our series of patients, the overall success rate of urethroplasty remained the same at 6 months, but decreased to 94.9% at 12 months and 88.1% at 18 months.
Conclusion:
These observations show that anterior urethroplasty by using the tunica albuginea of the corpora cavernosa produced satisfactory results and is comparable with the other techniques of urethroplasty. The merits of using the tunica albuginea for urethroplasty are local availability of tissues, so that there is no need to use anatomically and structurally dissimilar distant tissue such as the buccal mucosa, preputial, penile, or scrotal skin or Teflon grafts. It can be used in our area where most of the patients come with dyskeratotic changes in their buccal mucosa.
