[Urethroplasty in 2 stages using skin grafts].
OBJECTIVE
To present the technique and results of 2-stage mesh-graft urethroplasty, as described by Schreiter in 1984.


METHODS
11 patients with a stricture of the anterior urethra were treated according to this urethroplasty (pedicle skin flap). The site of the stricture was penile in 4 cases and perineoscrotal in 7 cases, and the mean length was 7.7 cm (range: 3 to 12.5).


RESULTS
10 patients were treated in 2 stages, while the remaining patient has a persistent perineal urethrostomy. With a mean follow-up of 3.5 years (range: 14 to 77 months), 9 patients obtained a satisfactory result with no radiographic recurrence, but with persistent nocturia (x 2/night), a mean peak flow rate of 12.8 ml/s, and a mean residual urine of 55 ml present in 8 our of 9 cases. One complete failure was observed, following complete recurrence of the stricture due to the limited dimensions of the skin flap at the 2nd stage.


CONCLUSIONS
This technique constitutes a useful salvage solution after failure of a one-stage urethroplasty. It can be used to treat extensive strictures of the anterior urethra by reconstituting a good quality urethral lumen with well vascularized tissue. It also has the advantage of avoiding the presence of hair follicles and allows the two stages to be performed at a brief interval.
Bouchot
O
O
Clinique Urologique, CHU--Hôtel-Dieu, Nantes.
Cassé
C
C
Bochereau
G
G
Prunet
D
D
Buzelin
J M
JM
D000368:Aged; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D010030:Ostomy; D010413:Penis / Q000601:surgery; D010502:Perineum / Q000601:surgery; D012008:Recurrence; D012611:Scrotum / Q000601:surgery; D016038:Skin Transplantation / Q000009:adverse effects / Q000379:methods* / Q000473:pathology; D017211:Treatment Failure; D014521:Urethra / Q000473:pathology / Q000601:surgery*; D014525:Urethral Stricture / Q000473:pathology / Q000601:surgery* / Q000652:urine; D014554:Urination; D014555:Urination Disorders / Q000209:etiology
Uréthroplastie en 2 temps par greffe cutanée.