Abstract:
OBJECTIVES:The aim of this study was to compare the effectiveness and outcomes of lingual mucosa graft (LMG) urethroplasty versus pedicled skin flap (PSF) urethroplasty in the repair of anterior urethral strictures. MATERIALS AND METHODS:A retrospective study in one urological center examined 293 male patients with anterior urethral strictures who received substitution urethroplasty from 2006 to 2015. Of these, 199 patients received PSF urethroplasty and 94 received LMG urethroplasty. The causes of stricture included catheter damage, transurethral instrumentation, trauma, infection, tumor and radiotherapy. Strictures caused by lichen sclerosus, hypospadias repair or failed urethroplasty were excluded. The success rate of PSF versus LMG in different urethra positions was analyzed. RESULTS:Overall, PSF and LMG had similar success rates (83.4% vs 85.1%, p = 0.713). In distal penile urethra, penile skin flaps and LMG achieved similar success rates (87.7% vs 82.1%, p = 0.297), but in proximal penile urethra, scrotal flaps had relatively low success rates (69.0% vs LMG 83.3%, p = 0.345) and in bulbar urethra, perineal skin flaps had significantly lower success rates than LMG (66.7% vs 92.3%, p = 0.036). CONCLUSION:Lingual mucosa is a good material for the repair of urethral defects and achieves results similar to or even better than those of PSF. Scrotal skin and perineal skin had lower success rates.
journal_name
Scand J Uroljournal_title
Scandinavian journal of urologyauthors
Fu Q,Zhang Y,Zhang J,Xie H,Sa YL,Jin Sdoi
10.1080/21681805.2017.1353541subject
Has Abstractpub_date
2017-12-01 00:00:00pages
479-483issue
6eissn
2168-1805issn
2168-1813journal_volume
51pub_type
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章,多中心研究
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journal_title:Scandinavian journal of urology
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journal_title:Scandinavian journal of urology
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doi:10.3109/00365599.2012.721394
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pub_type: 杂志文章,随机对照试验
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章,多中心研究
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更新日期:2013-04-01 00:00:00
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journal_title:Scandinavian journal of urology
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doi:10.3109/00365599.2012.699100
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章
doi:10.3109/21681805.2014.884160
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章
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journal_title:Scandinavian journal of urology
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journal_title:Scandinavian journal of urology
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doi:10.3109/21681805.2014.973901
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章
doi:10.3109/00365599.2012.729222
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journal_title:Scandinavian journal of urology
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journal_title:Scandinavian journal of urology
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journal_title:Scandinavian journal of urology
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journal_title:Scandinavian journal of urology
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doi:10.3109/21681805.2015.1021832
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章,多中心研究
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Scandinavian journal of urology
pub_type: 杂志文章
doi:10.3109/21681805.2015.1064471
更新日期:2016-01-01 00:00:00
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journal_title:Scandinavian journal of urology
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