title: Combined Dorsal Plus Ventral Double-Graft Urethroplasty in Anterior Urethral Reconstruction.
abstract: This study aims to investigate the effect of combined dorsal plus ventral double-graft urethroplasty in anterior urethral reconstruction. Patients who underwent graft urethroplasty for anterior urethral strictures at West China Hospital from 2005 to 2010 were followed up with clinical evaluation. According to the site of graft fixed, patients were divided into single-onlay group (dorsal or ventral) and double-onlay group (dorsal plus ventral). Success rate and complications were compared between the two groups and were analyzed using t test and chi-square. A total of 77 patients completed the follow-up, 51 in single-onlay group and 26 in double group. There was no statistical difference in terms of age, length, site, stricture reason, and the type of graft used between the two groups. The mean follow-up time was 15.6 months (range from 4 to 33 months) in double group and 39.5 months (range from 15 to 59 months) in single group. The total success rate was 72.5 % in single-onlay group and 88.5 % in double-onlay group; no statistical difference existed (p > 0.05). Subgroup analysis shows the success rate was higher for double-onlay urethroplasty for the stricture of penoscrotal junction (88.9 vs 60.9 %, p < 0.05). The main postoperative complications including infection and urethrocutaneous fistula were not significant between the two groups (p > 0.05). Combined dorsal plus ventral double-graft urethroplasty showed a high success and low complication rate for anterior urethral strictures, especially for the penoscrotal junction.
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China ; Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province People's Republic of China ; Sichuan Second Hospital of Traditional Chinese Medicine, Chengdu, Sichuan Province People's Republic of China.
authors.forename: Jianchun
authors.initials: J
authors.lastname: Jiang
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Yuchun
authors.initials: Y
authors.lastname: Zhu
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Lihai
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Deyi
authors.initials: D
authors.lastname: Luo
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Xin
authors.initials: X
authors.lastname: Wei
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Romel
authors.initials: R
authors.lastname: Wazir
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Hong
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Urology, West China Hospital, Sichuan University, Guoxue Xiang #37, Chengdu, 610041 Sichuan People's Republic of China.
authors.forename: Kunjie
authors.initials: K
authors.lastname: Wang
keywords: Anterior urethral reconstruction; Double onlay; Graft; Urethral stricture; Urethroplasty