Premium
Retrospective outcome analysis of one‐stage penile urethroplasty using a flap or graft in a homogeneous series of patients
Author(s) -
Barbagli Guido,
Morgia Guiseppe,
Lazzeri Massimo
Publication year - 2008
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2008.07741.x
Subject(s) - urethroplasty , medicine , surgery , stage (stratigraphy) , urethral stricture , urethra , biology , paleontology
OBJECTIVE To compare the results of a one‐stage penile flap or graft urethroplasty. PATIENTS AND METHODS Sixty‐three patients had a penile urethroplasty using one‐stage techniques; 18 (29%) had a one‐stage flap urethroplasty and 45 (71%) a one‐stage urethroplasty using skin (23) or oral mucosal (22) grafts. The clinical outcome was considered a failure when any instrumentation was needed after surgery. RESULTS The mean follow‐up was 55 months; of the 63 procedures, 48 (76%) were successful and 15 (24%) failures. Of 18 patients who had a one‐stage flap urethroplasty, 12 (67%) were successful and six (33%) were failures; of the 45 who had one‐stage graft urethroplasty, 36 (80%) were successful and nine (20%) were failures; of 23 penile skin grafts, 18 (78%) were successful and five (22%) were failures; and of 22 oral mucosal grafts, 18 (82%) were successful and four (18%) were failures. CONCLUSIONS The use of grafts for one‐stage penile urethroplasty gave a higher success rate (80%) than flaps (67%). The difference in the success rate between oral mucosal grafts (82%) and skin grafts (78%) was not clinically significant.