Urethral Reconstruction in Balanitis Xerotica Obliterans

Urologia Internationalis - Tập 81 Số 3 - Trang 285-289 - 2008
Sameer Trivedi1, Abhay Kumar1, Neeraj Kumar Goyal1, Udai S. Dwivedi1, Pratap B. Singh1
1Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Tóm tắt

<i>Objectives:</i> To review the results of utilizing different grafts for substitution urethroplasty for anterior urethral stricture caused by balanitis xerotica obliterans (BXO). <i>Methods:</i> 153 patients who underwent substitution urethroplasty for anterior urethral strictures were included in this study. The stricture length varied from 3.8 to 16.4 cm (mean 10.2 cm). In 32% of the patients (49), local genital, penile (18), perineal (16) and scrotal (15) skin grafts were used. Over the 3 years our standard treatment policy has been to utilize a free mucosal graft from a non-genital area. Buccal mucosa was the most preferred, utilized in 74 (48.3%) patients and bladder mucosa in 12 (7.8%). Recently we have used lingual mucosal grafts in 18 (11.7%) patients for substitution urethroplasty. <i>Results:</i> The overall success rate for non-genital mucosal graft was 92.2%. The remaining 8 patients required more than one supplementary procedure postoperatively but none required a second urethroplasty. Of 49 patients who underwent substitution urethroplasty utilizing genital skin, the success rate was only 4%. 16.3% required one and 14.3% required multiple auxiliary procedures postoperatively. 34 patients (69.4%) required subsequent urethral reconstruction. <i>Conclusions:</i> A free graft urethroplasty using non-genital skin is recommended for anterior urethral stricture related to BXO.

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10.1097%2F00006534-198404000-00024

10.1046%2Fj.1464-410x.1998.00634.x

10.1046%2Fj.1464-410X.2000.00772.x

10.1016%2FS0094-0143%2802%2900040-X

10.1097%2F01.ju.0000069721.20193.fd

10.1111%2Fj.1464-410X.2003.04860.x

10.1097%2F01.ju.0000149740.02408.19

10.1016%2FS0090-4295%2802%2902288-4

10.1159%2F000052450

10.1111%2Fj.1464-410X.2005.05523.x

10.1016%2FS0022-5347%2805%2900166-7

10.1590%2FS1677-55382003000200012

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Urologia Internationalis

Tập 81 Số 3

285-289

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