Abstract
Nove-Josserand in 1897 was the first to use a full-thickness skin graft from the thigh to reconstruct a new urethra. Several sources of full-thickness graft have been tried. This includes skin graft from behind the ear, the thigh, the groin, preputial graft, bladder mucosa, buccal mucosa, and lingual mucosa. The graft may be used to reconstruct the whole circumference of the urethra, the dorsal side (inlay graft), or the ventral surface (onlay graft). The most popular grafts used nowadays as a single stage are the preputial grafts and the buccal or labial mucosa grafts. Most commonly, these grafts are used as dorsal inlay grafts.
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Abbreviations
- BXO:
-
Balanitis xerotica obliterans
- PGA:
-
Polyglycolic acid
- TIP:
-
Tubularized incised plate
References
Nove-Josserand G. Traitement de l’hypospadias; nouvelle method. Lyon Med. 1897;85:198.
Young F, Benjamin JA. Preschool age repair of hypospadias with free inlay skin graft. Surgery. 1949; https://doi.org/10.5555/uri:pii:0039606049900057.
Devine CJ, Horton CE. A one stage hypospadias repair. J Urol. 1961; https://doi.org/10.1016/S0022-5347(17)65301-1.
Hendren WH, Horton CE. Experience with 1-stage repair of hypospadias and chordee using free graft or prepuce. J Urol. 1988; https://doi.org/10.1016/s0022-5347(17)42019-2.
Vyas PR, Roth DR, Perlmutter AD. Experience with free grafts in urethral reconstruction. J Urol. 1987; https://doi.org/10.1016/S0022-5347(17)44071-7.
Rober PE, Perlmutter AD, Reitelman C. Experience with 81, 1-stage hypospadias/chordee repairs with free graft urethroplasties. J Urol. 1990;144:526–9.
Webster GD, Brown MW, Koefoot RB, Sihelnick S. Suboptimal results in full thickness skin graft urethroplasty using an extrapenile skin donor site. J Urol. 1984; https://doi.org/10.1016/S0022-5347(17)50820-4.
Hendren WH, Reda ER. Bladder mucosa graft for construction of male urethra. J Urol. 1986; https://doi.org/10.1016/s0022-5347(17)44793-8.
Mollard P, Mouriquand P, Bringeon G, Bugmann P. Repair of hypospadias using a bladder mucosal graft in 76 cases. J Urol. 1989; https://doi.org/10.1016/S0022-5347(17)39159-0.
Ransley PG, Duffy PG, Oesch IL, Hoover D. Autologous bladder mucosa graft for urethral substitution. Br J Urol. 1987; https://doi.org/10.1111/j.1464-410X.1987.tb04643.x.
Ransley PG, Duffy PG, Oesch IL, van Oyen P, Hoover D. The use of bladder mucosa and combined bladder mucosa/preputial skin grafts for urethral reconstruction. J Urol. 1987; https://doi.org/10.1016/s0022-5347(17)43512-9.
Keating MA, Cartwright PC, Duckett JW. Bladder mucosa in urethral reconstructions. J Urol. 1990; https://doi.org/10.1016/S0022-5347(17)39602-7.
Duckett JW, Baskin LS. Hypospadias. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW, editors. Adult and pediatric urology. 3rd ed. St. Louis: Mosby-Year Book; 1996. p. 2549–89.
Bracka A. A long-term view of hypospadias. Br J Plast Surg. 1989; https://doi.org/10.1016/0007-1226(89)90140-9.
Bracka A. Hypospadias repair: the two-stage alternative. Br J Urol. 1995; https://doi.org/10.1111/j.1464-410X.1995.tb07815.x.
Bracka A. A versatile two-stage hypospadias repair. Br J Plast Surg. 1995; https://doi.org/10.1016/S0007-1226(95)90023-3.
Humby G, Higgins TT. A one-stage operation for hypospadias. Br J Surg. 1941; https://doi.org/10.1002/bjs.18002911312.
Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol. 1994; https://doi.org/10.1016/S0022-5347(17)34991-1.
Devine CJ, Horton CE. Hypospadias repair. J Urol. 1977;118:188–93.
Scherz H. Preputial graft in hypospadias. In: Ehrlich RM, Alter GJ, editors. Reconstructive and plastic surgery of the external genitalia: adult and pediatric. 1st ed. Philadelphia: Saunders; 1999. p. 83–6.
Duckett JW (1986) Buccal mucosal replacement; use of buccal mucosa urethroplasty in epispadias. Meeting of Society of Pediatric Urology, Southampton, England
Duckett JW, Coplen D, Ewalt D, Baskin LS. Buccal mucosal urethral replacement. J Urol. 1995; https://doi.org/10.1016/S0022-5347(01)67497-4.
Fairbanks JL, Sheldon CA, Khoury AE, Gilbert A, Bove KE. Free bladder mucosal graft biology: unique engraftment characteristics in rabbits. J Urol. 1992; https://doi.org/10.1016/s0022-5347(17)36686-7.
Ombrédanne L (1932) Precis clinique et operation de chirurgie infantile. Masson, Paris.
Dessanti A, Rigamonti W, Merulla V, Falchetti D, Caccia G. Autologous buccal mucosa graft for hypospadias repair: an initial report. J Urol. 1992; https://doi.org/10.1016/S0022-5347(17)37478-5.
Culp OS, McRoberts JW. Hypospadias. In: Alken CE, Dix V, Goodwin WE, editors. Encyclopedia of urology. New York: Springer; 1968. p. 11307–44.
Manzoni GM, Ransley PG. Buccal mucosa graft for hypospadias. In: Ehrlich RM, Alter GJ, editors. Reconstructive and plastic surgery of the external genitalia, adult and pediatric. Philadelphia: Saunders; 1999. p. 121–5.
Memmelaar J. Use of bladder mucosa in a one-stage repair of hypospadias. J Urol. 1947; https://doi.org/10.1016/S0022-5347(17)69518-1.
Byars LT. A technique for consistently satisfactory repair of hypospadias. Surg Gynecol Obstet. 1955;100(2):184–90.
Cloutier AM. A method for hypospadias repair. Plast Reconstr Surg. 1962; https://doi.org/10.1097/00006534-196209000-00007.
Johnson D, Coleman DJ. The selective use of a single-stage and a two-stage technique for hypospadias correction in 157 consecutive cases with the aim of normal appearance and function. Br J Plast Surg. 1998; https://doi.org/10.1016/S0007-1226(98)80009-X.
Klijn AJ, Dik P, De Jong TPVM. Results of preputial reconstruction in 77 boys with distal hypospadias. J Urol. 2001; https://doi.org/10.1016/S0022-5347(05)66506-8.
Turner-Warwick R. Observations upon techniques for reconstruction of the urethral meatus, the hypospadiac glans deformity, and the penile urethra. Urol Clin N Am. 1979;6:643–55.
Duffy PG, Ransley PG, Malone PS, van Oyen P. Combined free autologous bladder mucosa/skin tube for urethral reconstruction: an update. Br J Urol. 1988; https://doi.org/10.1111/j.1464-410X.1988.tb05090.x.
King LR. Hypospadias—a one-stage repair without skin graft based on a new principle: chordee is sometimes produced by the skin alone. J Urol. 1970; https://doi.org/10.1016/S0022-5347(17)62023-8.
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Hadidi, A.T. (2022). Grafts for One-Stage Repair. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_39
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