Your browser doesn't support javascript.
loading
Dorsal Onlay Oral Mucosa Graft Urethroplasty for Female Urethral Stricture.
Richard, Claire; Peyronnet, Benoit; Drain, Alice; Rosenblum, Nirit; Hascoet, Juliette; Sussman, Rachael D; Freton, Lucas; Zhao, Lee C; Nitti, Victor W; Brucker, Benjamin M.
Afiliación
  • Richard C; Department of Urology, University of Rennes, Rennes, France.
  • Peyronnet B; Department of Urology, University of Rennes, Rennes, France. Electronic address: peyronnetbenoit@hotmail.fr.
  • Drain A; Department of Urology, New York University Langone Health, New York, NY.
  • Rosenblum N; Department of Urology, New York University Langone Health, New York, NY.
  • Hascoet J; Department of Urology, University of Rennes, Rennes, France.
  • Sussman RD; Department of Urology, MedStar Georgetown University Hospital, Washington, DC.
  • Freton L; Department of Urology, University of Rennes, Rennes, France.
  • Zhao LC; Department of Urology, New York University Langone Health, New York, NY.
  • Nitti VW; Department of Urology, UCLA, Los Angeles, CA.
  • Brucker BM; Department of Urology, New York University Langone Health, New York, NY.
Urology ; 158: 215-221, 2021 12.
Article en En | MEDLINE | ID: mdl-34537197
OBJECTIVE: To describe and assess the outcomes of dorsal onlay oral mucosa graft urethroplasty for female urethral stricture. METHODS: We retrospectively reviewed the charts of all female patients who underwent dorsal onlay oral (buccal or lingual) mucosa urethroplasty for urethral stricture between 2011 and 2020 at two academic institutions. The primary endpoint was clinical success defined as any subjective improvement in LUTS self-assessed by the patients 1-3 months after catheter removal. Four surgeons performed the urethroplasties using a standardized technique: suprameatal incision, dissection and longitudinal opening of the dorsal aspect of the urethra, harvest of the oral mucosa graft, graft onlay sutured into the urethral opening. RESULTS: Nineteen patients were included. The clinical success rate was 94.7% at 1-3 months and 90.9% at 1 year. After a median follow-up of 12 months (range 1-49) there was one recurrence (5.3%), clinical success was achieved in 17 patients (89.5%) and both the maximum urinary flow rate and post void residual were significantly improved (15.2 vs 7.4 ml/s preoperatively; P = .008 and 71.5 vs 161.1 ml preoperatively; P = .001 respectively). The de novo stress urinary incontinence rate was 15.7% at 1-3 months and 9.1% at 1 year. CONCLUSION: Dorsal onlay oral mucosa graft urethroplasty for female urethral stricture appears feasible across multiple surgeons and is associated with a low perioperative morbidity, satisfactory functional outcomes and a low recurrence rate. Other series with larger sample size and longer follow-up are needed to confirm these findings.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uretra / Estrechez Uretral / Mucosa Bucal Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Urology Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uretra / Estrechez Uretral / Mucosa Bucal Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Urology Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos