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Hybrid minimally invasive urethroplasty for pan-anterior urethral strictures: initial results
Amlesh Seth1, Ashish Kumar Saini, P N Dogra
1Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Introduction:
To describe our minimally invasive hybrid technique for treating pan-anterior urethral stricture.
Patients And Methods:
From February 2009 through November 2011, 12 patients with pan-anterior urethral stricture were operated on in our unit. The bulbospongiosus muscle was mobilized on one side, and a 2.5-cm dorsolateral bulbar urethrotomy was made. A full-thickness cold knife optical internal urethrotomy was made to reach the corpus cavernosum as graft bed. A 14- to 16-cm-long, 15- to 16-mm-wide buccal/lingual mucosa graft was harvested and sutured dorsally at the site of urethrotomy, and then distally at the meatus along with meatoplasty.
Results:
The mean operating time was 91.66 min. The average hospital stay was 2.4 days. The Foley catheter was removed after 3 weeks. The mean Q(max) preoperatively and postoperatively was 5.5 ± 1.87 and 18.83 ± 2.04 ml/s, respectively. Our mean follow-up was 18.5 ± 6.92 (6-32) months.
Conclusions:
Our hybrid technique provides good short-term results while promoting minimal urethral mobilization and graft vascularity.
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