Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

The bladder mucosal graft for urethral reconstruction.

M A Koyle¹, R M Ehrlich

¹Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.

The Journal of Urology

|October 1, 1987

Summary

This study shows bladder mucosal grafts effectively reconstruct urethral anomalies in males, even after failed prior surgeries. This technique offers a viable solution for complex hypospadias and other urethral defects.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

The impact of multiple donor renal arteries on perioperative complications and allograft survival in paediatric renal transplantation.

Journal of pediatric urology·2021

Same author

Structured opioid-free protocol following outpatient hypospadias repair - A prospective SQUIRE 2.0-compliant quality improvement initiative.

Journal of pediatric urology·2020

Same author

Assessing the methodological and reporting quality of clinical systematic reviews and meta-analyses in paediatric urology: can practices on contemporary highest levels of evidence be built?

Journal of pediatric urology·2020

Same author

This month's review: quality improvement and patient safety.

Journal of pediatric urology·2019

Same author

Cost, training and simulation models for robotic-assisted surgery in pediatric urology.

World journal of urology·2019

Same author

Embracing change-the time for pediatric enhanced recovery after surgery is now.

Journal of pediatric urology·2019

Area of Science:

Urology
Pediatric Surgery
Reconstructive Surgery

Background:

Urethral anomalies present significant reconstructive challenges.
Previous surgical attempts often result in complex cases with tissue deficiency.
Hypospadias is a common congenital anomaly requiring specialized surgical approaches.

Purpose of the Study:

To evaluate the efficacy of single-stage urethral reconstruction using free bladder mucosa grafts.
To assess the suitability of this technique for patients with prior failed reconstructions and tissue deficits.
To determine the outcomes of bladder mucosal grafting in managing diverse urethral anomalies.

Main Methods:

Performed single-stage urethral repairs in 16 male patients using free bladder mucosa grafts.
Included patients with congenital and acquired urethral anomalies, many with prior unsuccessful surgeries.
Graft lengths varied from 2 to 8.5 cm.

Main Results:

Successful reconstruction was achieved in the majority of patients.
One patient developed a fistula that resolved with suprapubic drainage.
Another patient required reoperation for meatal stenosis.
The technique proved effective even in complex cases with previous failed repairs.

Conclusions:

Free bladder mucosal grafts are a valuable option for urethral reconstruction.
This technique is particularly indicated for complex cases, including failed hypospadias repairs and tissue deficiency.
Consider bladder mucosal grafting when local tissues are insufficient or prior repairs have failed.

Related Experiment Videos