A case of urethral replacement with polytetrafluoro-ethylene graft for multiple anterior urethral strictures.

Abstract:

:Recently, the authors had an opportunity to treat a 73-year-old male patient who was transferred to our institution with problematic multiple strictures of the anterior urethra subsequent to a suprapubic cystostomy. A proximal urethra was reconstructed with scrotal skin, but due to the shortage of distal skin, as a last resort we reconstructed a distal urethra using a polytetrafluoroethylene graft in place of 10 cm long urethral strictures. About 5 months after surgery, we had to reexplore the polytetrafluoroethylene graft area because of pain and found, much to our surprise, that the urethra had been completely regenerated around the length of polytetrafluoroethylene graft which now remained freely detached in the urethral canal. Following removal of the polytetrafluoroethylene graft, the patient could urinate normally and was subsequently discharged without further problems. We concluded that this case was incidentally successful with good regeneration of urethral mucosa of the anterior urethra by grafting a polytetrafluoroethylene tube.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Choi HK,Chang SK

doi

10.3349/ymj.1989.30.2.198

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

198-200

issue

2

eissn

0513-5796

issn

1976-2437

journal_volume

30

pub_type

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