[Autologous buccal mucosal graft for urethral reconstruction].
Proximal hypospadias are a difficult surgical problem, whether it could take place different surgical approaches. One of those is based on the creation of a neourethra using a free buccal mucosal graft, as a patch or a tube, obtained from de lips or cheek. Since 1983 we have been using this technique in 8 patients. The urethral meatus was penoscrotal in 3, scrotal in 3 and perineal in 2. There was a significant chordee in 3 patients. Hormonal treatment was necessary in 5 patients. The average age for surgery was 3.5 years. The graft was tubularized in all the cases. The free buccal mucosal graft was combined with a distal Duckett procedure in 6 patients. Two patients received only a free buccal mucosal graft. The final result is satisfactory in all the cases, with a good urinary jet. The complications were 7 urethrocutaneous fistulas, 5 of whom needed a surgical repair, and 2 stenosis, which also needed surgical repair.
Piró
C
C
Hospital Materno-Infantil Vall d'Hebrón, Barcelona.
de Diego
M
M
Martín
J A
JA
Isnar
R
R
Gosálbez
R
R
Biox-Ochoa
J
J
D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D014182:Transplantation, Autologous; D014521:Urethra / Q000601:surgery*
Reconstrucción uretral con injerto autoólogo de mucosa oral.