Urology Aprile 2016
Kulkarni Dorsolateral Graft Urethroplasty Using Penile Skin
Enzo Palminteri, Elisa Berdondini, Nicolaas Lumen, Serena Maruccia, Mirko Florio, Giorgio Franco, Vittorino Montanaro, and Giovanni Battista Di Pierro
To investigate the safety, efﬁcacy, and versatility of dorsolateral graft urethroplasty using penile skin.
Materials and Methods:
Between 2010 and 2013, 37 men with anterior urethral strictures underwent dorsolateral graft urethroplasty using penile skin by a single surgeon (EP). Inclusion criterion was patients with anteriorurethralstrictures.Exclusioncriteriawerelichensclerosus-relatedstrictures,absenceofavailable penile skin because of previous surgery, and obliterative urethral strictures. Clinical outcome wasconsideredafailurewhenanypostoperativeinstrumentationwasneeded,includingdilatation.
Mean (± standard deviation) patients age was 51 (±15.4) years. Stricture etiology was iatrogenic in 25 cases (67%), unknown in 10 (27%), trauma in 2 (6%). Stricture site was penile in 21 (57%) and peno-bulbar in 16 (43%). Median (range) stricture length was 5 cm (1-15). Of 37 patients, 30 (81%) had received previous treatments. Median (range) follow-up was 21 months (12-47). Of 37 patients, 34 (92%) had successful treatment and 3 (8%) had failed treatment. The 3 patients with failed treatment were treated with urethrostomy and are awaiting further reconstruction. Study limitations include the small sample size and the limited follow-up.
With a mid-term follow-up time, the dorsolateral graft urethroplasty using penile skin is shown to be a safe, efﬁcient, and versatile technique for the repair of short-mid-long anterior urethral strictures. UROLOGY 90: 179–183, 2016. © 2016 Elsevier Inc.