[Dorsal onlay urethroplasty with foreskin mucosa free graft (Barbagli's technique): preliminary results of our case series].
OBJECTIVE
We evaluate the indication and results in the treatment of complex urethral stenosis by the Barbagli's technique.


METHODS
We retrospectively review 8 patients undergoing dorsal onlay urethroplasty with foreskin mucosa free graft. We analyze their preoperative characteristics. Mean stenosis length was 6.25 cm and the site was bulbar urethra in seven cases and penile in one. Mean preoperative flow was 8.78 ml/sec. We describe the technique and present our results.


RESULTS
There are 87.5% of goods results (cure of the stenosis) with 22 months of mean follow-up. Only one patient required a second operation (end to end anastomosis) with good outcome.


CONCLUSIONS
The dorsal onlay urethroplasty with foreskin mucosa free graft is an effective technique in long and complex urethral stenosis, and we consider it the technique of first choice in view of our results.
Vicente Prados
Francisco Javier
FJ
Servicio de Urología del Hospital Universitario Virgen de las Nieves,. Granada, España. fjvicente@fundacionhvn.org
Tallada Buñuel
Miguel
M
Rosales Leal
José Luis
JL
Honrubia Vílchez
Beatriz
B
Fernández Sánchez
Antonio
A
Vázquez Alonso
Fernando
F
Pascual Geler
Manrique
M
Martínez Morcillo
Antonio
A
Rodríguez Herrera
Francisco
F
Espejo Maldonado
Eduardo
E
Cozar Olmo
José Manuel
JM
D052816:Foreskin / Q000637:transplantation*; D006801:Humans; D008297:Male; D009092:Mucous Membrane / Q000637:transplantation; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods