Orandi one-stage urethroplasty using the subcutaneous pedicle graft modification of Raatzsch--long-term results.
OBJECTIVE
To present long-term results obtained with the Orandi one-stage urethroplasty using a modified technique as described by Raatzsch.


METHODS
Between 1980 and 1993, Raatzsch urethroplasty was used in our clinic in 202 male patients (average age 50.9 years), 53% of whom had undergone other procedures before, mainly internal urethrotomy. The mean follow-up period was 46.2 months (range 2-156 months).


RESULTS
Good or improved results with no need for further surgical intervention were achieved in 128 patients (63.4%); a total of 117 procedures had to be performed in the other 74 patients in order to achieve a satisfactory outcome. The success rate was highest for penile strictures (71.8%). Complications occurred in 24.3% of cases.


CONCLUSIONS
The Raatzsch modification of Orandi urethroplasty is a simple procedure that yields moderate results on long-term follow-up. Surgeons who operate regularly for urethral stricture should be aware of its long-term results, especially in the treatment of penile strictures.
Schulte-Baukloh
Heinrich
H
Department of Urology, St Hedwig Hospital, Berlin, Germany. hschultebaukloh@hotmail.com
Stürzebecher
Burkard
B
Blömers
Friedhelm
F
Fleck
Heiner
H
Knispel
Helmut H
HH
D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D016038:Skin Transplantation / Q000379:methods*; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000175:diagnosis* / Q000601:surgery*; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000379:methods*