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Mesh graft urethroplasty using split thickness skin graft or foreskin
1Department of Urology, University of Witten-Herdecke, Schwelm, Federal Republic of Germany.
The Journal of Urology
|November 1, 1989
Summary
Mesh graft urethroplasty using foreskin or split thickness skin grafts offers excellent results for long urethral strictures. This two-stage reconstructive technique effectively avoids recurrent strictures and complications, proving useful even in complex cases.
Area of Science:
- Urology
- Reconstructive Surgery
- Tissue Engineering
Background:
- Long urethral strictures pose significant challenges in urology.
- Scrotal skin grafts for reconstruction have a high recurrence rate.
Purpose of the Study:
- To evaluate the efficacy of mesh graft urethroplasty using foreskin or split thickness skin grafts for long urethral strictures.
- To assess the anatomical and functional outcomes of this two-stage reconstructive technique.
Main Methods:
- A two-stage approach involving harvesting and transplanting meshed split thickness skin graft or foreskin.
- Neourethra formation 8 to 12 weeks after the initial grafting procedure.
- Mesh graft urethroplasty performed on 96 patients since 1977.
Main Results:
- Excellent anatomical and functional results were achieved in 95 out of 96 patients.
- The technique proved effective regardless of the graft material used (foreskin or split thickness skin graft).
- The method was particularly beneficial for exceedingly long or complex strictures, including those in spinal cord injury patients.
Conclusions:
- Mesh graft urethroplasty is a highly successful technique for reconstructing long urethral strictures.
- This two-stage method offers a durable solution with a low rate of recurrence.
- The technique is a valuable option for challenging urethral reconstruction cases.