Endoscopic skin-graft urethroplasty

World J Urol. 1998;16(3):171-4. doi: 10.1007/s003450050047.

Abstract

An attempt has been made to develop a treatment modality for urethral strictures that combines the minimally invasive nature and simplicity of optical urethrotomy with the good long-term results of tissue-graft urethroplasty. Purpose-specific instruments were designed for the carrying and holding of a full-thickness penile skin graft at the site of an urethral stricture, subjected to optical urethrotomy, in such a manner that movement between the graft and the graft bed be eliminated. The first 53 patients thus treated and followed for at least 2 years are discussed. The overall graft take was 95%. At the 2-year follow-up examination, patients with a good graft take showed maintained urethral patency in 100% of inflammatory and iatrogenic strictures, in 50% of established strictures resulting from rupture of the urethra associated with fracture of the pelvis, and in 75% of patients with rupture of the urethra treated 2-3 weeks after the injury.

Publication types

  • Clinical Trial

MeSH terms

  • Endoscopy / adverse effects
  • Endoscopy / methods*
  • Follow-Up Studies
  • Graft Survival
  • Humans
  • Male
  • Prognosis
  • Rupture, Spontaneous
  • Skin Transplantation / adverse effects
  • Skin Transplantation / methods*
  • Urethral Stricture / surgery*