[One-step urethroplasty--indications, results and surgical peculiarities].
In a representative patient group the long-term results were examined after one-stage urethroplasty with a subcutaneous pedicle skin flap. The used modification in which an intact strip of epithelium is buried shows good to satisfactory results in 80% of the cases, but in more than 60% a diverticulum of the neourethra was found. Therefore, in 25% of all urethroplasties a secondary resection of the diverticulum was necessary. First experiences with the use of a skin patch to reconstruct the urethra have shown that formation of diverticula can be prevented by this technique. The pre-, intra- and postoperative measures (epilation, secretion drainage, temporary urinary diversion) which are necessary to achieve good functional results are presented in detail.
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D014563:Urodynamics
Die einzeitige Urethroplastik--Indikation, Ergebnisse und operative Besonderheiten.