Buccal Mucosa Grafts for Hypospadias surgery: Long-term Results
2002; Lippincott Williams & Wilkins; Volume: 168; Issue: 4 Part 2 Linguagem: Inglês
10.1016/s0022-5347(05)64401-1
ISSN1527-3792
AutoresTerry W. Hensle, Michael Kearney, Jonathan B. Bingham,
Tópico(s)Urinary and Genital Oncology Studies
ResumoNo AccessJournal of UrologyHypospadias1 Oct 2002Buccal Mucosa Grafts for Hypospadias surgery: Long-term Results Terry W. Hensle, Michael C. Kearney, and Jonathan B. Bingham Terry W. HensleTerry W. Hensle , Michael C. KearneyMichael C. Kearney , and Jonathan B. BinghamJonathan B. Bingham View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64401-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We review the long-term results of buccal mucosa grafts used as part of secondary hypospadias repair. Materials and Methods: We evaluated 47 patients for 10 years and analyzed long-term results of buccal mucosa grafts for hypospadias repair. Of the 47 patients 40 have been followed for more than 3 years. Results: The overall complication rate was 32% (13 of 47 cases). All complications occurred in the first 6 months following surgery, and the complication rate was significantly lower in the last 7 years of the series (19%) compared to the first 3 years (60%) (p = 0.01). All 3 patients in this series with a preoperative diagnosis of balanitis xerotica obliterans had a significant postoperative complication. Conclusions: Buccal mucosa appears to be a durable source of nongenital tissue for urethral replacement. Attention to detail in terms of graft harvest, graft preparation and graft fixation helps to avoid major postoperative complications. Onlay grafts appear to be preferable to tube grafts, and patients with the diagnosis of balanitis xerotica obliterans would appear not to be candidates for 1-stage urethral reconstruction using buccal mucosa. References 1 : Current trends in hypospadias repair. Urol Clin North Am1999; 26: 15. Google Scholar 2 : Suboptimal results in full thickness skin graft urethroplasty using an extrapenile skin donor site. 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Link, Google Scholar From the Division of Pediatric Urology, Children's Hospital of New York, New York, New York© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFine R, Reda E, Zelkovic P, Gitlin J, Freyle J, Franco I and Palmer L (2015) Tunneled Buccal Mucosa Tube Grafts for Repair of Proximal HypospadiasJournal of Urology, VOL. 193, NO. 5S, (1813-1818), Online publication date: 1-May-2015.Goyal A, Singh M and Dickson A (2010) Oral Mucosa Graft for Repair of Hypospadias: Outcomes at PubertyJournal of Urology, VOL. 184, NO. 6, (2504-2509), Online publication date: 1-Dec-2010.Meeks J, Erickson B, Fetchev P, Crawford S, Fine N and Gonzalez C (2010) Urethroplasty With Abdominal Skin Grafts for Long Segment Urethral StricturesJournal of Urology, VOL. 183, NO. 5, (1880-1884), Online publication date: 1-May-2010.Meeks J, Erickson B and Gonzalez C (2008) Staged Reconstruction of Long Segment Urethral Strictures in Men With Previous Pediatric Hypospadias RepairJournal of Urology, VOL. 181, NO. 2, (685-689), Online publication date: 1-Feb-2009.Markiewicz M, Lukose M, Margarone J, Barbagli G, Miller K and Chuang S (2007) The Oral Mucosa Graft: A Systematic ReviewJournal of Urology, VOL. 178, NO. 2, (387-394), Online publication date: 1-Aug-2007.Mokhless I, Kader M, Fahmy N and Youssef M (2018) The Multistage Use of Buccal Mucosa Grafts for Complex Hypospadias: Histological ChangesJournal of Urology, VOL. 177, NO. 4, (1496-1500), Online publication date: 1-Apr-2007.Schwentner C, Gozzi C, Lunacek A, Rehder P, Bartsch G, Oswald J and Radmayr C (2018) Interim Outcome of the Single Stage Dorsal Inlay Skin Graft for Complex Hypospadias ReoperationsJournal of Urology, VOL. 175, NO. 5, (1872-1877), Online publication date: 1-May-2006.AMUKELE S, STOCK J and HANNA M (2018) MANAGEMENT AND OUTCOME OF COMPLEX HYPOSPADIAS REPAIRSJournal of Urology, VOL. 174, NO. 4 Part 2, (1540-1543), Online publication date: 1-Oct-2005.LI Q, LI S, CHEN W, XU J, YANG M, LI Y, WANG Y and ZHAO Z (2018) COMBINED BUCCAL MUCOSA GRAFT AND LOCAL FLAP FOR URETHRAL RECONSTRUCTION IN VARIOUS FORMS OF HYPOSAPDIASJournal of Urology, VOL. 174, NO. 2, (690-692), Online publication date: 1-Aug-2005.PATEL R, SHUKLA A, LEONE N, CARR M and CANNING D (2018) SPLIT ONLAY SKIN FLAP FOR THE SALVAGE HYPOSPADIAS REPAIRJournal of Urology, VOL. 173, NO. 5, (1718-1720), Online publication date: 1-May-2005.SNODGRASS W and ELMORE J (2018) INITIAL EXPERIENCE WITH STAGED BUCCAL GRAFT (BRACKA) HYPOSPADIAS REOPERATIONSJournal of Urology, VOL. 172, NO. 4 Part 2, (1720-1724), Online publication date: 1-Oct-2004.PATEL R, SHUKLA A and SNYDER H (2018) THE ISLAND TUBE AND ISLAND ONLAY HYPOSPADIAS REPAIRS OFFER EXCELLENT LONG-TERM OUTCOMES: A 14-YEAR FOLLOWUPJournal of Urology, VOL. 172, NO. 4 Part 2, (1717-1719), Online publication date: 1-Oct-2004. Volume 168Issue 4 Part 2October 2002Page: 1734-1737 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsmouth mucosahypospadias, postoperative complicationstransplantsMetrics Author Information Terry W. Hensle More articles by this author Michael C. Kearney More articles by this author Jonathan B. Bingham More articles by this author Expand All Advertisement PDF downloadLoading ...
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