Dorsal Onlay Skin Graft Bulbar Urethroplasty

Long-Term Follow-Up

Guido Barbagli, Giuseppe Morgia, Massimo Lazzeri

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Objectives: To report retrospectively long-term follow-up in a homogeneous group of patients who underwent dorsal onlay skin graft bulbar urethroplasty and to investigate which factors might influence long-term outcome. Methods: Thirty-eight patients, with an average age of 43 yr, underwent dorsal onlay skin graft (#12 ventral penile skin and #26 preputial mucosa) bulbar urethroplasty from 1994 to 2000. Of 38 patients, 23 (60.5%) had undergone prior endoscopic procedures. Preoperative evaluation included clinical history, physical examination, retrograde and voiding urethrography, and urethral sonography. Three weeks after surgery, voiding cystourethrography was performed. Patients were followed-up with a clinical evaluation and specific diagnostic tests every 4 mo in the first year and every 12 mo thereafter. Clinical outcome was considered a failure when postoperative instrumentation, including dilation, was needed. Results: Average follow-up was 111 mo (range, 80-149). Of 38 cases, 25 (65.8%) were successful and 13 (34.2%) failures. Patients with stricture length > 6 cm and a previous history of urethrotomies or dilatations seemed to have a higher risk of failure, but this observation was only a trend and did not reach levels of statistical significance. Conclusions: Penile skin used as dorsal onlay graft for bulbar urethral reconstruction in a homogeneous series of patients showed a success rate ranging from 90% at short-term follow-up to 66% after long-term follow-up. There was no evidence for particular risk factors (length of stricture, number of dilatations and urethrotomies) for failure.

Original languageEnglish
Pages (from-to)628-634
Number of pages7
JournalEuropean Urology
Volume53
Issue number3
DOIs
Publication statusPublished - Mar 2008

Fingerprint

Inlays
Transplants
Skin
Dilatation
Pathologic Constriction
Routine Diagnostic Tests
Physical Examination
Ultrasonography
Mucous Membrane

Keywords

  • Skin graft (transplantation)
  • Urethra
  • Urethral stricture
  • Urethroplasty

ASJC Scopus subject areas

  • Urology

Cite this

Dorsal Onlay Skin Graft Bulbar Urethroplasty : Long-Term Follow-Up. / Barbagli, Guido; Morgia, Giuseppe; Lazzeri, Massimo.

In: European Urology, Vol. 53, No. 3, 03.2008, p. 628-634.

Research output: Contribution to journalArticle

Barbagli, Guido ; Morgia, Giuseppe ; Lazzeri, Massimo. / Dorsal Onlay Skin Graft Bulbar Urethroplasty : Long-Term Follow-Up. In: European Urology. 2008 ; Vol. 53, No. 3. pp. 628-634.
@article{aae9b65195a7429584459bb2152e944d,
title = "Dorsal Onlay Skin Graft Bulbar Urethroplasty: Long-Term Follow-Up",
abstract = "Objectives: To report retrospectively long-term follow-up in a homogeneous group of patients who underwent dorsal onlay skin graft bulbar urethroplasty and to investigate which factors might influence long-term outcome. Methods: Thirty-eight patients, with an average age of 43 yr, underwent dorsal onlay skin graft (#12 ventral penile skin and #26 preputial mucosa) bulbar urethroplasty from 1994 to 2000. Of 38 patients, 23 (60.5{\%}) had undergone prior endoscopic procedures. Preoperative evaluation included clinical history, physical examination, retrograde and voiding urethrography, and urethral sonography. Three weeks after surgery, voiding cystourethrography was performed. Patients were followed-up with a clinical evaluation and specific diagnostic tests every 4 mo in the first year and every 12 mo thereafter. Clinical outcome was considered a failure when postoperative instrumentation, including dilation, was needed. Results: Average follow-up was 111 mo (range, 80-149). Of 38 cases, 25 (65.8{\%}) were successful and 13 (34.2{\%}) failures. Patients with stricture length > 6 cm and a previous history of urethrotomies or dilatations seemed to have a higher risk of failure, but this observation was only a trend and did not reach levels of statistical significance. Conclusions: Penile skin used as dorsal onlay graft for bulbar urethral reconstruction in a homogeneous series of patients showed a success rate ranging from 90{\%} at short-term follow-up to 66{\%} after long-term follow-up. There was no evidence for particular risk factors (length of stricture, number of dilatations and urethrotomies) for failure.",
keywords = "Skin graft (transplantation), Urethra, Urethral stricture, Urethroplasty",
author = "Guido Barbagli and Giuseppe Morgia and Massimo Lazzeri",
year = "2008",
month = "3",
doi = "10.1016/j.eururo.2007.08.019",
language = "English",
volume = "53",
pages = "628--634",
journal = "European Urology",
issn = "0302-2838",
publisher = "Elsevier B.V.",
number = "3",

}

TY - JOUR

T1 - Dorsal Onlay Skin Graft Bulbar Urethroplasty

T2 - Long-Term Follow-Up

AU - Barbagli, Guido

AU - Morgia, Giuseppe

AU - Lazzeri, Massimo

PY - 2008/3

Y1 - 2008/3

N2 - Objectives: To report retrospectively long-term follow-up in a homogeneous group of patients who underwent dorsal onlay skin graft bulbar urethroplasty and to investigate which factors might influence long-term outcome. Methods: Thirty-eight patients, with an average age of 43 yr, underwent dorsal onlay skin graft (#12 ventral penile skin and #26 preputial mucosa) bulbar urethroplasty from 1994 to 2000. Of 38 patients, 23 (60.5%) had undergone prior endoscopic procedures. Preoperative evaluation included clinical history, physical examination, retrograde and voiding urethrography, and urethral sonography. Three weeks after surgery, voiding cystourethrography was performed. Patients were followed-up with a clinical evaluation and specific diagnostic tests every 4 mo in the first year and every 12 mo thereafter. Clinical outcome was considered a failure when postoperative instrumentation, including dilation, was needed. Results: Average follow-up was 111 mo (range, 80-149). Of 38 cases, 25 (65.8%) were successful and 13 (34.2%) failures. Patients with stricture length > 6 cm and a previous history of urethrotomies or dilatations seemed to have a higher risk of failure, but this observation was only a trend and did not reach levels of statistical significance. Conclusions: Penile skin used as dorsal onlay graft for bulbar urethral reconstruction in a homogeneous series of patients showed a success rate ranging from 90% at short-term follow-up to 66% after long-term follow-up. There was no evidence for particular risk factors (length of stricture, number of dilatations and urethrotomies) for failure.

AB - Objectives: To report retrospectively long-term follow-up in a homogeneous group of patients who underwent dorsal onlay skin graft bulbar urethroplasty and to investigate which factors might influence long-term outcome. Methods: Thirty-eight patients, with an average age of 43 yr, underwent dorsal onlay skin graft (#12 ventral penile skin and #26 preputial mucosa) bulbar urethroplasty from 1994 to 2000. Of 38 patients, 23 (60.5%) had undergone prior endoscopic procedures. Preoperative evaluation included clinical history, physical examination, retrograde and voiding urethrography, and urethral sonography. Three weeks after surgery, voiding cystourethrography was performed. Patients were followed-up with a clinical evaluation and specific diagnostic tests every 4 mo in the first year and every 12 mo thereafter. Clinical outcome was considered a failure when postoperative instrumentation, including dilation, was needed. Results: Average follow-up was 111 mo (range, 80-149). Of 38 cases, 25 (65.8%) were successful and 13 (34.2%) failures. Patients with stricture length > 6 cm and a previous history of urethrotomies or dilatations seemed to have a higher risk of failure, but this observation was only a trend and did not reach levels of statistical significance. Conclusions: Penile skin used as dorsal onlay graft for bulbar urethral reconstruction in a homogeneous series of patients showed a success rate ranging from 90% at short-term follow-up to 66% after long-term follow-up. There was no evidence for particular risk factors (length of stricture, number of dilatations and urethrotomies) for failure.

KW - Skin graft (transplantation)

KW - Urethra

KW - Urethral stricture

KW - Urethroplasty

UR - http://www.scopus.com/inward/record.url?scp=38749113768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38749113768&partnerID=8YFLogxK

U2 - 10.1016/j.eururo.2007.08.019

DO - 10.1016/j.eururo.2007.08.019

M3 - Article

VL - 53

SP - 628

EP - 634

JO - European Urology

JF - European Urology

SN - 0302-2838

IS - 3

ER -