Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients

Guido Barbagli, Guiseppe Morgia, Massimo Lazzeri

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To compare the results of a one-stage penile flap or graft urethroplasty. PATIENTS AND METHODS: Sixty-three patients had a penile urethroplasty using one-stage techniques; 18 (29%) had a one-stage flap urethroplasty and 45 (71%) a one-stage urethroplasty using skin (23) or oral mucosal (22) grafts. The clinical outcome was considered a failure when any instrumentation was needed after surgery. RESULTS: The mean follow-up was 55 months; of the 63 procedures, 48 (76%) were successful and 15 (24%) failures. Of 18 patients who had a one-stage flap urethroplasty, 12 (67%) were successful and six (33%) were failures; of the 45 who had one-stage graft urethroplasty, 36 (80%) were successful and nine (20%) were failures; of 23 penile skin grafts, 18 (78%) were successful and five (22%) were failures; and of 22 oral mucosal grafts, 18 (82%) were successful and four (18%) were failures. CONCLUSIONS: The use of grafts for one-stage penile urethroplasty gave a higher success rate (80%) than flaps (67%). The difference in the success rate between oral mucosal grafts (82%) and skin grafts (78%) was not clinically significant.

Original languageEnglish
Pages (from-to)853-860
Number of pages8
JournalBJU International
Volume102
Issue number7
DOIs
Publication statusPublished - Oct 2008

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Transplants
Skin

Keywords

  • Flap
  • Graft
  • Oral mucosa
  • Penile skin
  • Urethroplasty

ASJC Scopus subject areas

  • Urology

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Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients. / Barbagli, Guido; Morgia, Guiseppe; Lazzeri, Massimo.

In: BJU International, Vol. 102, No. 7, 10.2008, p. 853-860.

Research output: Contribution to journalArticle

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