title: [The treatment of complex urethral stricture greater than 8 cm long].
abstract: OBJECTIVE
  To evaluate the selection of different procedures and the feasibility for the treatment of long segment urethral stricture.
  
  
  METHODS
  Seventy-six patients with complex urethral stricture greater than 8 cm long underwent different procedures of urethroplasty. Of them various mucosa grafts urethral reconstruction were adopted in 42 cases (colonic mucosal graft, n = 26; buccal mucosal graft, n = 10; bladder mucosal graft, n = 6); One-stage pedicle flaps urethroplasty in 20; two-stage urethroplasty of Johanson procedure in 12; and penile urethra-prostatic urethra anastomosis, three-stage urethroplasty in 2.
  
  
  RESULTS
  In early followed up (within 6 months postoperatively), 67 patients (88%) voided well and complications developed in 10. Among the 70 patients who lasted more than 1 year after operation, 51 cases were followed up. Forty-four patients voided well, and complications developed in 8. Of the 8 cases urethral restructure developed in 2 (18%) for pedicle flaps urethroplasty, 2 for colonic mucosal urethroplasty (9%), 1 for buccal mucosal graft (1/7), 1 for bladder mucosal graft (1/3); penile chordee in 2 (2/5), and one of them was accompanied by hair bearing neourethra for two-stage urethroplasty of Johanson procedure.
  
  
  CONCLUSIONS
  Colonic mucosal and buccal mucosal grafts urethroplasty are feasible procedures for the treatment of long segment urethral stricture, and Colonic mucosal graft urethroplasty may be considered when more conventional procedures fail or complicated urethral strictures greater than 10 cm long.
authors.affiliation: Department of Urology, Sixth People's Hospital, Jiaotong University of Shanghai, Shanghai 200233, China. xuyuemin@263.net
authors.forename: Yue-min
authors.initials: YM
authors.lastname: Xu
authors.forename: Yong
authors.initials: Y
authors.lastname: Qiao
authors.forename: Deng-long
authors.initials: DL
authors.lastname: Wu
authors.forename: Ying-long
authors.initials: YL
authors.lastname: Sa
authors.forename: Zhong
authors.initials: Z
authors.lastname: Chen
authors.forename: Jiong
authors.initials: J
authors.lastname: Zhang
authors.forename: Xin-ru
authors.initials: XR
authors.lastname: Zhang
authors.forename: Rong
authors.initials: R
authors.lastname: Chen
authors.forename: Hong
authors.initials: H
authors.lastname: Xie
authors.forename: San-bao
authors.initials: SB
authors.lastname: Jin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery*; D019738:Surgically-Created Structures; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*