The bladder mucosal graft for urethral reconstruction.
Single stage repairs of a variety of congenital and acquired urethral anomalies were performed in 16 male patients with free grafts of bladder mucosa. Of the patients 10 previously had undergone unsuccessful attempts at urethral reconstruction, including 9 boys with hypospadias. Grafts ranged between 2 and 8.5 cm. long. A fistula occurred postoperatively in 1 patient and it responded to prolonged suprapubic drainage. Meatal stenosis necessitated a further operation in 1 patient. The bladder mucosal graft technique should be considered for urethral reconstruction when prior attempts at repair have failed or when the disorder is primary, and local penile or preputial skin is deficient.
Koyle
M A
MA
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.
Ehrlich
R M
RM
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D007223:Infant; D008297:Male; D009092:Mucous Membrane / Q000637:transplantation; D011183:Postoperative Complications; D012086:Reoperation; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000637:transplantation*