1.Ventral inlay buccal mucosal graft urethroplasty: A novel surgical technique for the management of urethral stricture disease.
Robert Caleb KOVELL ; Ryan Patrick TERLECKI
Korean Journal of Urology 2015;56(2):164-167
To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.
Cystoscopy/methods
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Humans
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Male
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Middle Aged
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Mouth Mucosa/*transplantation
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Urethra/surgery
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Urethral Stricture/diagnosis/*surgery
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Urologic Surgical Procedures, Male/methods