title: Kulkarni Dorsolateral Graft Urethroplasty Using Penile Skin.
abstract: OBJECTIVE
  To investigate the safety, efficacy, and versatility of dorsolateral graft urethroplasty using penile skin.
  
  
  METHODS
  Between 2010 and 2013, 37 men with anterior urethral strictures underwent dorsolateral graft urethroplasty using penile skin by a single surgeon (EP). Inclusion criterion was patients with anterior urethral strictures. Exclusion criteria were lichen sclerosus-related strictures, absence of available penile skin because of previous surgery, and obliterative urethral strictures. Clinical outcome was considered a failure when any postoperative instrumentation was needed, including dilatation.
  
  
  RESULTS
  Mean (± standard deviation) patients age was 51 (±15.4) years. Stricture etiology was iatrogenic in 25 cases (67%), unknown in 10 (27%), trauma in 2 (6%). Stricture site was penile in 21 (57%) and peno-bulbar in 16 (43%). Median (range) stricture length was 5 cm (1-15). Of 37 patients, 30 (81%) had received previous treatments. Median (range) follow-up was 21 months (12-47). Of 37 patients, 34 (92%) had successful treatment and 3 (8%) had failed treatment. The 3 patients with failed treatment were treated with urethrostomy and are awaiting further reconstruction. Study limitations include the small sample size and the limited follow-up.
  
  
  CONCLUSIONS
  With a mid-term follow-up time, the dorsolateral graft urethroplasty using penile skin is shown to be a safe, efficient, and versatile technique for the repair of short-mid-long anterior urethral strictures.
authors.affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy; Department of Urology, Clinica Cellini, Humanitas Institute, Torino, Italy. Electronic address: enzo.palminteri@inwind.it.
authors.forename: Enzo
authors.initials: E
authors.lastname: Palminteri
authors.affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy; Department of Urology, Clinica Cellini, Humanitas Institute, Torino, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Berdondini
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: Nicolaas
authors.initials: N
authors.lastname: Lumen
authors.affiliation: Department of Urology, San Donato Hospital, Milan, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Maruccia
authors.affiliation: Department of Urology, Tor Vergata University, Rome, Italy.
authors.forename: Mirko
authors.initials: M
authors.lastname: Florio
authors.affiliation: Department of Obstetrics, Gynecology and Urology, "Sapienza" University, Rome, Italy.
authors.forename: Giorgio
authors.initials: G
authors.lastname: Franco
authors.affiliation: Department of Urology, "Federico II" University, Naples, Italy.
authors.forename: Vittorino
authors.initials: V
authors.lastname: Montanaro
authors.affiliation: Department of Obstetrics, Gynecology and Urology, "Sapienza" University, Rome, Italy.
authors.forename: Giovanni Battista
authors.initials: GB
authors.lastname: Di Pierro
mesh_terms: D052816:Foreskin / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods