title: Anterior Urethra Reconstruction With Lateral Lingual Mucosa Harvesting Technique.
abstract: OBJECTIVE
  To describe a new technique for harvesting the long lingual mucosal graft (LMG) to repair the long-segment urethral strictures.
  
  
  METHODS
  We performed a retrospective observational study of patients from whom LMGs were harvested from the lateral lining of the tongue for the long-segment anterior urethral strictures repair from 2012 to 2014 at the Shanghai Sixth People's Hospital. Patients who had 12 months minimum follow-up were included. Patients with incomplete clinical records were excluded. The LMG was applied on the urethra according to the dorsal onlay technique.
  
  
  RESULTS
  The primary outcome of the study was the postoperative failure-free survival rate. The secondary outcome was the rate of early and late complications at the harvesting site. Success was defined as Qmax >12 ml/s and no postoperative procedures. One hundred and one patients were included. Median stricture length was 7.1 ± 3.6 cm; median LMG length was 7.2 ± 3.6 cm. The success rate was 81.2% with a median follow-up of 23 months. Complications at the donor site had occurred in 41 patients at 6-months follow-up, and persisted in 18 patients at the 12-months follow-up. A bilateral harvest and harvest length were the main factors influencing complication rate (P = .0038 for 6 months and P = .1112 for 12 months). Almost half of donor site complications subsided within 12 months (P = .0018).
  
  
  CONCLUSIONS
  In patients requiring long oral grafts >7 cm to repair anterior strictures, a valid option is to harvest the graft from the lateral lining of the tongue.
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Kaile
authors.initials: K
authors.lastname: Zhang
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Shukui
authors.initials: S
authors.lastname: Zhou
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Yumeng
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Yuemin
authors.initials: Y
authors.lastname: Xu
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Sanbao
authors.initials: S
authors.lastname: Jin
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Yinglong
authors.initials: Y
authors.lastname: Sa
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Jiong
authors.initials: J
authors.lastname: Zhang
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Xie
authors.affiliation: Center for Reconstructive Urethral Surgery, Centro Chirurgico Toscano, Arezzo, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Lazzeri
authors.affiliation: Center for Reconstructive Urethral Surgery, Centro Chirurgico Toscano, Arezzo, Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Barbagli
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China.
authors.forename: Rong
authors.initials: R
authors.lastname: Chen
authors.affiliation: The Department of Urology, Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, China. Electronic address: jamesqfu@aliyun.com.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Fu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014059:Tongue; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D014945:Wound Healing; D055815:Young Adult