Endourethral urethroplasty--use of a new catheter.
Endourethral split skin grafting following visual internal urethrotomy was done successfully in 7 selected patients with stricture of the bulbomembranous urethra. Open substitution or anastomotic urethroplasty might otherwise have been necessary in these patients. The technique involves the use of a specially designed double balloon catheter, in which the second balloon, when distended, keeps the split skin graft in close opposition with the urethral raw area. This function ensures a near 100 per cent graft take, keeps the strictured area wide open and allows early ambulation of the patient, since no perineal compression dressing is required.
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation; D013997:Time Factors; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000601:surgery*; D014546:Urinary Catheterization / Q000295:instrumentation*; D014563:Urodynamics; D014945:Wound Healing