Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture.

Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture. Research Abstract Details 

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Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture. Abstract Text:

Yuemin Xu,Yong Qiao,Denglong Wu,Yinglong Sa,Xinru Zhang,Rong Chen,Jiemin Si,Chongrui Jin,

OBJECTIVE: To investigate the possibility of urethral reconstruction with colonic mucosa for the treatment of complex longer urethral stricture (>/= 10 cm). METHODS: From October 2000 to September 2001, 6 patients with complex longer urethral stricture were treated with colonic mucosal graft urethroplasty. They had under gone 3 previous unsuccessful urethral repairs on average. Urethral reconstruction with a free graft of colonic mucosa ranged from 10 to 15 cm (mean 12.17 cm). Follow-up included retrograde urethrography, urethroscopy, and uroflowmetry. RESULTS: The patients were followed up 3 - 14 months postoperatively (mean 7.8 months). Meatal stenosis developed in one patient 3 months after operation needed reoperation. The patient voided very well with urinary peak flow 28.7 ml per second duing follow-up for 12 months postoperatively. The other patients voided well with urinary peak flow greater than 15 ml per second. At urethroscopy, colonic mucosa was macroscopically difficult to distinguish from normal original urethral mucosa in 4 patients over 6 months after the operation. CONCLUSIONS: Colonic mucosa graft urethroplasty is feasible for the treatment of complex longer anterior urethral stricture. The technique is useful for urethral reconstruction when penial skin and bladder mucosa are not available.

Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture. Publishing Authors By Initials

Y Xu,Y Qiao,D Wu,Y Sa,X Zhang,R Chen,J Si,C Jin,

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Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhonghua yu fang yi xue za zhi [Chinese journal of

VOLUME: 36

Page Numbers: 522-4

Journal Abbreviation: Zhonghua Yu Fang Yi Xue Za Zhi

ISSN: 0253-9624

DAY: 4

MONTH: Dec

YEAR: 2002

Urethral reconstruction with colonic mucosa in treatment of complex urethral stricture. Information

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LANGUAGE: eng

NlmUniqueID: 7904962

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AFFILIATION: Department of Urology, Sixth Municipal Hospital of Shanghai, Shanghai 200233, China.

Country: China

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MEDLINETA: Zhonghua Yu Fang Yi Xue Za Zhi

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