Augmented perineal urethrostomy using a dorsal buccal mucosal graft, bi-institutional study

DeLong, Jessica; McCammon, Kurt; Capiel, Leandro; Rovegno, Augustín; Tonkin, Jeremy; Jordan, Gerald H.; Virasoro, Ramón

doi:10.1007/s00345-017-2002-z

Cited by 9 publications

(2 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various techniques can be used for a bulbar urethroplasty. For a short stricture in the proximal bulbar urethra, excision and primary anastomosis is the gold standard, 3,4 while substitution urethral tissue is required for longer strictures, such as a skin flap, with BMG usage also possible. Fuchs et al examined the cases of urethral reconstruction for a complicated urethral stricture over a 10‐year period, and reported an increasing tendency for a perineal urethrostomy as compared to total urethral reconstruction, which was particularly useful in elderly patients 1 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perineal urethrostomy with combined buccal mucosal graft and skin flap after complete loss of anterior urethra

2021

View full text Add to dashboard Cite

Introduction We report a novel perineal urethrostomy procedure for complete loss of anterior urethral tissue. Case presentation A 74‐year‐old man had complete necrosis of the corpus spongiosum and corpora cavernosa after repeated transurethral surgical procedures. He had been managed with a suprapubic cystostomy tube for 10 years. A perineal urethrostomy was performed, and a posterior wall with an inverted U‐shaped perineal skin flap and an anterior wall with a buccal mucosal graft were created. Five months later, an internal urethrotomy was required for mild anastomotic stenosis. Thereafter, an indwelling Foley catheter was used for urine drainage at night to prevent restenosis of the neourethra and avoid excessive nocturia due to low capacity of the long‐time disused bladder, and the patient became catheter‐free during the daytime. Conclusion The method presented here is a reasonable option for patients lacking whole anterior urethral tissue.

show abstract

Section: Discussionmentioning

confidence: 99%

“…DeLong et al reported that when a stricture continues into the proximal bulbar urethra or membranous urethra, a perineal urethrostomy with a BMG is a viable option 4 . They reported 44 cases in which the urethral plate was utilized as a posterior wall and buccal mucosa as an anterior wall, though avoided using a PSF as a posterior wall.…”

Section: Discussionmentioning

confidence: 99%