Staged urethroplasty in the management of complex anterior urethral stricture disease.
Staged urethroplasty in the management of complex anterior urethral stricture disease.
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DOI：
10.3978/j.issn.2223-4683.2015.01.10
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发表时间：
2015-02
影响因子：
2
通讯作者：
Angermeier KW
中科院分区：
文献类型：
--
作者：
Mori RL;Angermeier KW
分期颊粘膜移植尿道成形术已成为一个可靠的程序，难以前尿道狭窄，不适合一个阶段的移植或皮瓣重建。它主要用于尿道下裂或硬化性苔藓（LS）相关的既往手术后发生的狭窄和/或瘘。与早期技术相比，这些患者人群的成功率有所提高。然而，先前的研究已经证明了一些患者需要两次以上的手术来完成重建，以及一些患者在第一次手术后对他们的排尿模式感到满意，因此选择放弃第二阶段的小管化。在这种情况下，我们回顾了手术技术，并总结了以前发表的工作。可能有机会在两次手术中使用额外的口腔粘膜在小管化时完成更多的修复。
Staged buccal mucosa graft urethroplasty has emerged as a reliable procedure for difficult anterior urethral strictures not amenable to one-stage graft or flap reconstruction. It has primarily been used for strictures and/or fistulae occurring after previous surgery for hypospadias or those related to lichen sclerosus (LS). Success rates in these patient populations have improved when compared to earlier techniques. However, prior studies have demonstrated a number of patients requiring more than two procedures to complete the reconstruction, as well as some who have been content with their voiding pattern after the first operation and therefore elected to forego second stage tubularization. In this setting, we have reviewed the surgical technique and summarized previously published work. There may be an opportunity to complete more of these repairs in two operations using additional oral mucosa at the time of tubularization.