Tubal Buccal Mucosa Graft without Anastomosis of the Proximal Urethra for Long Segment Posterior Urethral Defect Repair.
10.4111/kju.2012.53.10.737
- Author:
Byung Dal MIN
1
;
Eui Tai LEE
;
Won Tae KIM
;
Yong June KIM
;
Seok Joong YUN
;
Sang Cheol LEE
;
Wun Jae KIM
Author Information
1. Department of Urology, Chungbuk National University College of Medicine, Cheongju, Korea. sjyun@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Mouth mucosa;
Transplants;
Urethral stricture
- MeSH:
Accidents, Traffic;
Adult;
Catheters;
Cystostomy;
Humans;
Mouth Mucosa;
Pelvic Bones;
Transplants;
Urethra;
Urethral Stricture;
Urinary Incontinence
- From:Korean Journal of Urology
2012;53(10):737-740
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 31-year-old man was referred for further management of a urethral stricture. He was a victim of a traffic accident and his urethral injury was associated with a pelvic bone fracture. He had previously undergone a suprapubic cystostomy only owing to his unstable general condition at another hospital. After 3 months of urethral injury, direct urethral anastomosis was attempted, but the surgery failed. An additional 4 failed internal urethrotomies were performed before the patient visited Chungbuk National University Hospital. Preoperative images revealed complete posterior urethral disruption, and the defect length was 4 cm. We performed a buccal mucosa tubal graft without anastomosis of the proximal urethra for a long segment posterior urethral defect. The Foley catheter was removed 3 weeks after the operation and the patient was able to void successfully. After 8 months, he had normal voiding function without urinary incontinence.
