Female anterior wall onlay urethroplasty with lower lip buccal mucosal graft: Importance of the laterally extended incision  

作　　者：Maryam Emami Pejman Shadpour Koosha Kamali Nima Narimani Jalil Hosseini 

机构地区：[1]Hasheminejad Kidney Center,Iran University of Medical Sciences,Tehran,Iran [2]Hasheminejad Kidney Center(HKC),Hospital Management Research Center,Iran University of Medical Sciences,Tehran,Iran [3]Hasheminejad Kidney Center(HKC),Iran University of Medical Sciences,Tehran,Iran [4]Men’s Health and Reproductive Health Research Center,Shahid Beheshti University of Medical Sciences,Tehran,Iran

出　　处：《Asian Journal of Urology》2023年第1期33-38,共6页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To describe the outcome of female anterior wall(pubic side)onlay urethroplasty with buccal mucosal graft using laterally extended surgical dissection in patients with previously failed minimally invasive techniques.Methods:From January 2016 to April 2018,17 symptomatic patients with previously failed minimally invasive procedures were enrolled in the study.The diagnosis of urethral stricture was confirmed based on a combination of patients’symptoms,post-void residual urine,video-urodynamics,and cystoscopy.Urethroplasty with lower lip mucosal graft was performed using the modified laterally extended dissection.Patients were evaluated pre-operatively and 12-month post-operatively with the American Urological Association symptom score,post-void residual urine,and maximum flow rate.Results:Despite the previously failed minimally invasive procedures,urethroplasty with lower lip buccal graft and laterally extended dissection resulted in favorable outcomes(success rateZ94%).The mean
standard deviation of American urological association symptom score improved from pre-operative levels at the 12-month post-operative follow-up(25.82
3.97 to 10.88
5.57);so did postvoid residual urine(71.12
74.98 mL to 15.00
28.30 mL),and maximum flow rate(7.88
1.72 mL/s to 25.82
5.59 mL/s)with all statistically significant(p<0.05).Conclusion:The current study showed that female urethroplasty with buccal graft could be highly successful in experienced hands.An anterior approach could be superior to the posterior one due to higher mechanical support and lower sacculation rate.A laterally extended incision may improve visualization and better graft placement by providing wider working space.The results should be evaluated in the future studies with larger sample size.

关 键 词：Female urethroplasty Buccal graft Dorsal Anterior wall onlay Urethral stricture Video-urodynamics 

分 类 号：R69[医药卫生—泌尿科学]