Long-term followup of buccal mucosa onlay graft for hypospadias repair: analysis of complications.
J Urol
; 172(5 Pt 1): 1970-2; discussion 1972, 2004 Nov.
Article
en En
| MEDLINE
| ID: mdl-15540768
PURPOSE: We review the long-term results of buccal mucosa onlay grafting for urethral reconstruction in hypospadias surgery in patients with followup of at least 5 years. MATERIALS AND METHODS: We retrospectively evaluated 132 patients who underwent buccal mucosa onlay graft for hypospadias repair, including 34 who underwent "salvage" grafting, during a 10-year period at our institution. In 49 cases with available followup longer than 5 years (average 6.2) complications were analyzed in detail. RESULTS: The overall complication rate was 24% (12 of 49 patients), with all but 3 complications occurring during the first postoperative year (3 fistulas, 1 stricture, 1 meatal stenosis, 2 graft contractures, 2 scars at oral harvesting site). The remaining 3 complications manifested during postoperative years 2 and 3, and encompassed 2 anastomotic strictures at the proximal anastomosis and 1 meatal stenosis. CONCLUSIONS: Buccal mucosa onlay grafts for urethral reconstruction in hypospadias repair seem to provide stable long-term results, with complications occurring primarily during the first 12 months postoperatively.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hipospadias
/
Mucosa Bucal
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
J Urol
Año:
2004
Tipo del documento:
Article
País de afiliación:
Alemania
Pais de publicación:
Estados Unidos