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KMID : 0358320150560020164
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Korean Journal of Urology
2015 Volume.56 No. 2 p.164 ~ p.167
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Ventral inlay buccal mucosal graft urethroplasty: A novel surgical technique for the management of urethral stricture disease
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Kovell Robert Caleb
Terlecki Ryan Patrick
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Abstract
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To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.
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KEYWORD
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Buccal mucosa, Reconstructive surgical procedure, Urethral stricture
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