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Dorsal free graft urethroplasty
1Department of Urology, University of Florence, Italy.
The Journal of Urology
|January 1, 1996
Summary
Dorsal free graft urethroplasty effectively treats penile and bulbous urethral strictures. This technique shows excellent outcomes with no graft weakening, making it a reliable option for urethral reconstruction.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- Urethroplasty is a surgical procedure to repair urethral strictures.
- Urethroceles can occur as a complication of urethral reconstruction.
Purpose of the Study:
- To evaluate the efficacy of dorsal free graft urethroplasty in reducing urethrocele incidence.
- To assess the outcomes of dorsal free graft urethroplasty for penile and bulbous urethral strictures.
Main Methods:
- Dorsal free graft urethroplasty was performed on 25 patients with urethral strictures (12 penile, 13 bulbous).
- Patients with bulbous strictures received either a dorsally placed tube graft (6 patients) or a patch graft (7 patients).
Main Results:
- Temporary fistulas observed on postoperative urethrography in 5 cases resolved spontaneously.
- At a mean follow-up of 35.8 months, 23 cases showed excellent clinical and radiological findings, with 2 cases showing good results.
- No signs of graft weakening, such as post-void dribbling or diminished ejaculation, were observed.
Conclusions:
- The dorsal position for free skin grafts in urethral reconstruction is anatomically superior to the ventral position.
- Dorsal free graft urethroplasty is a safe and effective technique for treating urethral strictures with favorable long-term outcomes.