Skip to main content
SpringerLink
Log in

Dorsal on-lay preputial graft urethroplasty for anterior urethra strictures repair

  • Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Objectives

To report the long-term results and evaluate the effectiveness of the dorsal on-lay preputial graft urethroplasty in patients suffering from anterior urethra strictures.

Methods

A total of 21 male patients, mean age 46.3 years (range 17–67), with anterior urethral strictures, underwent the dorsal on-lay preputial graft urethroplasty during the last 8 years, from October 1997 to September 2005. Strictures were located in bulbar urethra in 16 patients and in penile urethra in the remaining 5. The aetiology the stricture was traumatic injury of the anterior urethra in 12 patients and iatrogenic in 9 patients.␣A direct vision dorsal urethrotomy and the insertion of an urethral Foley catheter right before the procedure, facilitated the corpus spongiosum dissection and the preparation for urethroplasty. A voiding cystogram was performed on the day of urethral catheter removal to exclude extravasation and estimate the postoperative result.

Results

Mean follow-up time has been 49.9 months (range 6–95) and the outcome was favourable in 15 patients (71.43%). There were 3 recurrences in penile urethra strictures managed conservatively and three in bulbar urethroplasties, treated with internal urethrotomy followed by urethral dilatations.

Conclusion

Our results indicate that dorsal on-lay urethroplasty using preputial graft is an easy to learn and perform procedure, and offers the patient durable␣results with rather minimal complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Zinman L (1999) Surgical management of anterior urethral strictures. In: Ehrlich, Alter (eds) Reconstructive and plastic surgery of the external genitalia, Philadelphia, WB Saunders Co, chapt 68, pp 369–384

  2. Wessels H, McAninch JW (1996) Use of graft in urethral stricture reconstruction. J Urol 155:1912

    Article  Google Scholar 

  3. Blum JA, Feeney MJHowe GE, Steel JF (1982) Skin patch urethroplasty: 5-year followup. J Urol 127:909

    PubMed  CAS  Google Scholar 

  4. Brigman JA, Deture FA (1982) Giant urethral diverticulum after free full-thickness skin graft urethroplasty. J Urol 127:909

    Google Scholar 

  5. Wessels H, Morey AF, McAninch JW (1997) Single stage reconstruction of complex anterior urethral strictures: combined tissue tranfer techniques. J Urol 157:1271

    Article  Google Scholar 

  6. Hendren WH, Reda EF (1986) Bladder mucosa graft for construction of male urethra. J Ped Surg 21:189

    Article  CAS  Google Scholar 

  7. Andrich DE, Mundy AR (2001) Substitution urethroplasty with buccal mucosal free grafts. J Urol 165:1131–1134

    Article  PubMed  CAS  Google Scholar 

  8. Hendren WH, Crooks KK (1980) Tubed free graft for construction of male urethra. J Urol 123:858

    PubMed  CAS  Google Scholar 

  9. Barbagli G, Selli C, Tosto A, Palminteri E (1996). Dorsal free graft urethroplasty. J Urol 155:123

    Article  PubMed  CAS  Google Scholar 

  10. Guralnick ML, Webster GD (2001) The augmented anastomotic urethroplasty. Indications and outcome in 29 patients. J Urol 165:1496–1501

    Article  PubMed  CAS  Google Scholar 

  11. Iselin CE, Webster GD (1999) Dorsal onlay graft urethroplasty for repair of bulbar urethral stricture. J␣Urol 161:815–818

    Article  PubMed  CAS  Google Scholar 

  12. Andrich DE, Leach CJ, Mundy AR (2001) The Barbagli procedure gives the best results for patch urethroplasty of the bulbar urethra. BJU Int 88:385–389

    Article  PubMed  CAS  Google Scholar 

  13. Peterson AC, Webster GD (2004) Management of urethral stricture disease: developing options for surgical intervention. BJU Int 94(7):971–976

    Article  PubMed  Google Scholar 

  14. Barbagli G, Palminteri E, Rizzo M (1998) Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. J Urol 160:1307–1309

    Article  PubMed  CAS  Google Scholar 

  15. Barbagli G, Palminteri E, Balo S, Picinoti A, Lazzeri M (2002) Dorsal onlay graft urethroplasty. Contemp Urol 14:18–32

    Google Scholar 

  16. Pansadoro V, Emiliozzi P, Gaffi M, Scarpone P (1999) Buccal mucosa urethroplasty for the treatment of bulbar urethral strictures. J Urol 161:1501–1504

    Article  PubMed  CAS  Google Scholar 

  17. Wessels H (2002) Ventral onlay techniques for urethroplasty. Urol Clin North Am 29:381–387

    Article  Google Scholar 

  18. Elliott SP, Metro MJ, McAninch JW (2003) Long-term followup of the ventrally placed buccal mucosa onlay graft in bulbar urethral reconstruction. J Urol 169:1754–1757

    Article  PubMed  Google Scholar 

  19. Kane CJ, Tarman GJ, Summerton DJ et al (2002) Multi-institutional experience with buccal mucosa onlay urethroplasty for bulbar urethral reconstruction. J␣Urol 167:1314–1317

    Article  PubMed  Google Scholar 

  20. Barbagli G, Palminteri E, Lazzeri M, Turini D (2004) Interim outcomes of dorsal skin graft bulbar urethroplasty. J Urol 172:1365–7

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 1st Department of Urology, Aristotle University of Thessaloniki, “G.Gennimatas” General Hospital, Thessaloniki, Greece

    Demetrios Radopoulos, Constantinos Tzakas, Georgios Dimitriadis, Ioannis Vakalopoulos, Stavros Ioannidis & Ioannis Vasilakakis

  2. “G.Gennimatas” General Hospital, Dousmani str. 30, GR-546 44, Thessaloniki, Greece

    Georgios Dimitriadis

Authors
  1. Demetrios Radopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Constantinos Tzakas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Georgios Dimitriadis
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ioannis Vakalopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Stavros Ioannidis
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ioannis Vasilakakis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Georgios Dimitriadis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Radopoulos, D., Tzakas, C., Dimitriadis, G. et al. Dorsal on-lay preputial graft urethroplasty for anterior urethra strictures repair. Int Urol Nephrol 39, 497–503 (2007). https://doi.org/10.1007/s11255-006-9029-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-006-9029-1

Keywords

Search

Navigation