title: Labial mucosa and combined labial/bladder mucosa free graft for urethral reconstruction.
abstract: One-stage urethral reconstruction was performed using a free graft of labial mucosa and combined labial/bladder mucosa. We present the results of this technique in 12 cases that had a minimum follow-up period of 3 years. Eleven patients had medium penile or posterior hypospadias and one had chordee penis without hypospadias. Urethroplasty with labial mucosa was performed by two techniques: labial mucosa used alone or combined with bladder mucosa. The labial mucosa was harvested from the inner surface of the upper and/or lower lip, depending on which method was used. Seven patients, six with medium penile or posterior hypospadias and 1 with chordee without hypospadias, were given a labial mucosa graft alone; the urethral gap was 3.5 to 6 cm. The other five cases, all with posterior hypospadias, were treated by combined labial/bladder mucosa graft urethroplasty: the urethral gap was 6 to 13 cm. Follow-up (at 3 to 4 1/2 years) showed no complications apart from a urethral fistula in one patient and mild stenosis on the anastomosis in four cases, which required urethral dilatations in the first month after surgery.
authors.affiliation: Clinica Chirurgica, University of Sassari, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Dessanti
authors.forename: A
authors.initials: A
authors.lastname: Porcu
authors.forename: A M
authors.initials: AM
authors.lastname: Scanu
authors.forename: G
authors.initials: G
authors.lastname: Dettori
authors.forename: G
authors.initials: G
authors.lastname: Caccia
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D009092:Mucous Membrane / Q000637:transplantation; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder