Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture.
OBJECTIVE
To investigate the possibility of urethral reconstruction with colonic mucosa for the treatment of complex longer urethral stricture (>/= 10 cm).


METHODS
From October 2000 to September 2001, 6 patients with complex longer urethral stricture were treated with colonic mucosal graft urethroplasty. They had under gone 3 previous unsuccessful urethral repairs on average. Urethral reconstruction with a free graft of colonic mucosa ranged from 10 to 15 cm (mean 12.17 cm). Follow-up included retrograde urethrography, urethroscopy, and uroflowmetry.


RESULTS
The patients were followed up 3 - 14 months postoperatively (mean 7.8 months). Meatal stenosis developed in one patient 3 months after operation needed reoperation. The patient voided very well with urinary peak flow 28.7 ml per second duing follow-up for 12 months postoperatively. The other patients voided well with urinary peak flow greater than 15 ml per second. At urethroscopy, colonic mucosa was macroscopically difficult to distinguish from normal original urethral mucosa in 4 patients over 6 months after the operation.


CONCLUSIONS
Colonic mucosa graft urethroplasty is feasible for the treatment of complex longer anterior urethral stricture. The technique is useful for urethral reconstruction when penial skin and bladder mucosa are not available.
Xu
Yuemin
Y
Department of Urology, Sixth Municipal Hospital of Shanghai, Shanghai 200233, China.
Qiao
Yong
Y
Wu
Denglong
D
Sa
Yinglong
Y
Zhang
Xinru
X
Chen
Rong
R
Si
Jiemin
J
Jin
Chongrui
C
D003106:Colon; D006801:Humans; D007413:Intestinal Mucosa; D016896:Treatment Outcome; D014521:Urethra; D014525:Urethral Stricture; D013521:Urologic Surgical Procedures, Male