Esteban-María J, Mendoza-Lucio L

Language: Spanish
References: 11
Page: 79-83
PDF size: 533.62 Kb.

ABSTRACT

Introduction: Not until the second half of the twentieth century did urethroplasty come into use, based on the work of the English urologist Richard Turner Warwick, taking the place of urethral dilatation, first described in India in 600 B.C.
Materials and methods: Urethroplasty treatment results in 28 patients with complicated urethral stricture are presented. Patients underwent urethroplasty at the Urology Service of the Hospital Universitario in Monterrey, Mexico, within the time frame of March 2005-2008. The following techniques were used: stricture zone excision and end-toend anastomosis in those patients with posterior urethral stricture of 1 cm or less in length; two-stage Johanson technique or the application of buccal mucosa graft in one or two stages was used in patients with stricture larger than 1 cm or with anterior urethral stricture.
Results: The most common complications were recurrent urethral stricture and urethrocutaneous fistula. Intraurethral splints (Urolumen™) were applied in 3 patients due to recurrent stricture. Total success rate was 67%.

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