[Skin graft urethroplasty].
OBJECTIVE
To evaluate the results of skin graft urethroplasty (SGU) in the management of urethral stricture.


METHODS
Twenty eight patients, with a mean age of 54 years, treated by SGU were reviewed with a mean follow-up of 24.5 months (range: 1-66). The first-line material skin graft material was the foreskin or, in its absence, the penile skin or skin of the arm was used.


RESULTS
This study demonstrated a satisfactory result (no clinical signs, maximum flow rate > or = 15 ml/s, no need for salvage surgery) in 67.9% of cases. Although the early complication rate was low, 8 stenoses were observed during subsequent follow-up; 3 of which required open surgical revision. The other relapses were treated by internal urethrotomy or hetero- or autodilatations. This study showed that urine sterility at the time of surgery was a decisive factor.


CONCLUSIONS
The preferential indication for this type of urethroplasty remains a bulbar urethral stricture with sterile urine. However, the aetiology and length of the stricture are not discriminant factors.
Gaschignard
N
N
Clinique Urologique, Hôtel-Dieu, Nantes, France.
Prunet
D
D
Vasse
N
N
Buzelin
J M
JM
Bouchot
O
O
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003627:Data Interpretation, Statistical; D005069:Evaluation Studies as Topic; 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*