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| 篇名 |
Combining Free Buccal Mucosal Graft and Local Tissue from Urethral Diverticulectomy to Repair Complex Urethral Stricture: Report of a Case |
| 作者 |
Shou-Hung Tang, Chien-Chang Kao, Seng-Tang Wu, Feng-Ping Chuang, Tai-Lung Cha |
| 卷期/出版年月 |
43卷5期 (2010/10) |
| 頁次 |
243-247 |
| 摘要 |
The repair of a complex urethral stricture is a great challenge to all surgeons. Most
patients with such a condition underwent repeated endoscopic procedures before
having the definitive open repair. We describe a 38-year-old male who sustained
straddle injury and subsequently developed stricture at the bulbar urethra. The
affected urethral segment was 1-2 cm long in the beginning, but became 6 cm in
length after more than 10 endoscopic procedures. Prior to definitive repair, we noted
multiple false passages and diverticula in the urethra. In this particular case, the
trauma-related urethral diverticulum was used as part of the ventral floor and the
rest of the urethral lumen was reconstructed with a free buccal mucosal graft.
Following the urethroplasty, a short web-like stricture (<0.5 cm in length) developed
three months after the operation. The short stricture was further managed by
endoscopic internal urethrotomy only once. No recurrence was noted up to 18
months thereafter. |
| 關鍵詞 |
urethra, stricture, urethroplasty, buccal mucosa, diverticulum |
| 分類 |
Case Report |
|
