Tunica vaginalis free graft urethroplasty: 10 years experience
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Date
2018
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Objective: To evaluate the long term patient outcomes over a 10 year period among 52 patients who had
tunica vaginalis (TV) for substitution urethroplasty.
Patients and methods: Between October 2005 and December 2015, a total of 52 patients had TV substitution
urethroplasty. 25 cases had one stage free graft dorsal urethroplasty while 27 cases had augmented
anastomoses urethroplasty. Successful criteria were: patient satisfaction, urine flow rate above 16 mL/s,
patent urethrogram and no need for dilation or any instrumentation during the follow-up period.
Results: Overall success rate was 80.8%. Five cases completely failed due to severe wound sepsis and TV
urethroplasty redone successfully 6–12 months later. Recurrent urethral stricture occurred in 5 cases over a
period of 3–18 months. Superficial surgical site infection occurred in 7 cases. The 42 successful cases were
voiding well, with an average flow rate 20 mL/s. None of the patients had any scrotal pain or discomfort in
the follow-up period.
Conclusion: To the best of our knowledge this is the first long term study using this technique with encouraging
results and the researchers propose that it is considered as an additional option by reconstructive
genitourinary surgeons.
Description
Open Access journal article
Keywords
Urethral stricture, Graft, Tunica Vaginalis, Urethroplasty
Citation
Ashmawy, H and Magama, P.T. (2018). Tunica vaginalis free graft urethroplasty: 10 years experience. African Journal of Urology, 24, 37-40.