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. 1996 Jan;155(1):123-6.

Dorsal free graft urethroplasty

G Barbagli  1 , C Selli, A Tosto, E Palminteri
Affiliations
  • PMID: 7490808

Dorsal free graft urethroplasty

G Barbagli et al. J Urol. 1996 Jan.

Abstract

Purpose: Dorsal free graft urethroplasty was performed to reduce the incidence of urethrocele.

Materials and methods: We treated 12 patients with penile and 13 with bulbous strictures. Of the 13 patients with a bulbous stricture 6 received a dorsally placed tube graft and 7 received a patch graft.

Results: Temporary fistulas were seen on postoperative urethrography in 5 cases but they all resolved spontaneously. At a mean followup of 35.8 months clinical and radiological findings were excellent in 23 cases and good in 2. No signs of graft weakening, such as post-void dribbling or diminished ejaculation, were apparent.

Conclusions: The use of free skin grafts for urethral reconstruction is anatomically healthier in the dorsal than in the ventral position.

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