[Urethroplasty using a free dermo-epidermal of preputial mesh graft: Meshgraft urethroplasty].
Long urethral strictures raise serious problems in terms of appropriate treatment. Reconstruction techniques using scrotal skin have a high recurrence rate. In order to avoid complications, a dermoepidermal or preputial Meshgraft was used to reconstruct a new urethra in two stages. In the first stage, the graft was raised and transplanted onto the open urethra. 8 to 12 weeks later, in the second stage, the new urethra is closed. Since 1977, Meshgraft urethroplasty has been performed in 128 patients, using the skin of the foreskin (n = 75) or medial surface of the thigh (n = 53). A good anatomical and functional result was obtained in all but three cases, regardless of the graft donor site. This operative technique constitutes a very effective method for the lasting treatment of long or complicated urethral strictures, for example in patients with spinal cord injuries.
Hoch
V
V
Urologische Abteilung, Verbands Krankenhaus Schwelm.
Noll
F
F
Schreiter
F
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis; D011859:Radiography; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology; D013848:Thigh; D014521:Urethra / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D014546:Urinary Catheterization; D014945:Wound Healing
Urétroplastie par greffe libre en grillage dermo-épidermique ou préputial: urétroplastie Meshgraft.