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Ventral inlay buccal mucosal graft urethroplasty: A novel surgical technique for the management of urethral stricture disease

대한비뇨기과학회지 2015년 56권 2호 p.164 ~ 167
 ( Kovell Robert Caleb ) - Wake Forest School of Medicine Wake Forest Baptist Medical Center Department of Urology

 ( Terlecki Ryan Patrick ) - Wake Forest School of Medicine Wake Forest Baptist Medical Center Department of Urology

Abstract


To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.

키워드

Buccal mucosa; Reconstructive surgical procedure; Urethral stricture
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