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Comparative Study
. 1999 Feb;9(1):112-7.

[Skin graft urethroplasty]

[Article in French]
N Gaschignard  1 , D Prunet, N Vasse, J M Buzelin, O Bouchot
Affiliations
  • PMID: 10212961
Comparative Study

[Skin graft urethroplasty]

[Article in French]
N Gaschignard et al. Prog Urol. 1999 Feb.

Abstract

Objectives: To evaluate the results of skin graft urethroplasty (SGU) in the management of urethral stricture.

Material and methods: Twenty eight patients, with a mean age of 54 years, treated by SGU were reviewed with a mean follow-up of 24.5 months (range: 1-66). The first-line material skin graft material was the foreskin or, in its absence, the penile skin or skin of the arm was used.

Results: This study demonstrated a satisfactory result (no clinical signs, maximum flow rate > or = 15 ml/s, no need for salvage surgery) in 67.9% of cases. Although the early complication rate was low, 8 stenoses were observed during subsequent follow-up; 3 of which required open surgical revision. The other relapses were treated by internal urethrotomy or hetero- or autodilatations. This study showed that urine sterility at the time of surgery was a decisive factor.

Conclusion: The preferential indication for this type of urethroplasty remains a bulbar urethral stricture with sterile urine. However, the aetiology and length of the stricture are not discriminant factors.

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