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URETHROPLASTIES FOR STRICTURES 1
Author(s) -
WILKIE T. F.,
COWAN R. J.,
BALFOUR J.,
WILLIAMS L. R.
Publication year - 1960
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1960.tb00020.x
Subject(s) - fibrous joint , surgery , medicine , suture line
SUMMARY The results of four years' experience with the Bengt Johanson type of operation for repair of urethral stricture in males have been reviewed, and the relative merits of modifications favoured by various surgeons compared. This study (involving fifty‐one cases, forty‐four of which were assessable), suggests that on the whole a strict adherence to the details of the technique described by Johanson is the best insurance of consistently favourable results in a variety of hands. Morbidity and complications increased with deviation from this technique. One exception to this rule was discussed and its success thought to be due to adherence to a fundamental principle of plastic surgery– a minimum of suture‐line tension, with avoidance of ischaemia. The claims made for his operation by Johanson are substantiated, namely:–1 That it can be applied to any urethral stricture or strictures. 2 That the principle of the buried skin strip (forming a tube by epithelialisation) is a satisfactory means of reconstructing a strictured urethra. 3 That post‐operative dilatations are unnecessary. 4 That the patient is cured of his stricture–“immediately” in a satisfactory percentage of cases, and “eventually” in almost all cases.