One-stage reconstruction of distal urethra with free graft of tublar oral mucosa

VernacularTitle: 口腔黏膜卷管游离移植一次性重建远段尿道
Author: Yong TANG ¹ ; Yangqun LI ; Muxin ZHAO ; Zhe YANG ; Ning MA ; Weixin WANG ; Lisi XU ; Jun FENG ; Jiangting CHEN
Author Information

1. Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China
Publication Type:Clinical Trail
Keywords: Urethral stricture; Hypospadia; Mucous grafting
From: Chinese Journal of Plastic Surgery 2017;33(1):34-36
CountryChina
Language:Chinese
Abstract: Objective:To investigate the therapeuctic effect of one-stage reconstruction of distal urethra with free graft of tublar oral mucosa.
Methods:Two strips of oral mucosa graft( 0.4—0.6 cm in width), were harvested and sutured around an oiled silk roll to form mucosa tube. The mucosa tube was used to reconstruct distal urethra. Postoperative pressure dressing and earlier urination were recommended.
Results:From May 2007 to October 2015, 16 cases with distal urethra defect or stenosis were treated with this method. The urethra defect was 2—4 cm in length. Urethral fistula happened in 3 patients. All the other 13 cases healed primarily. 10 cases were followed up for 1—5 years by telephone with normal function.
Conclusions:One-stage reconstruction with free graft of bulbar oral mucosa is suitable and reliable for distal urethra defect less than 4 cm in length.