Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients
Version of Record online: 15 MAY 2008
© 2008 THE AUTHORS. JOURNAL COMPILATION © 2008 BJU INTERNATIONAL
Volume 102, Issue 7, pages 853–860, October 2008
How to Cite
Barbagli, G., Morgia, G. and Lazzeri, M. (2008), Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients. BJU International, 102: 853–860. doi: 10.1111/j.1464-410X.2008.07741.x
- Issue online: 1 SEP 2008
- Version of Record online: 15 MAY 2008
- Accepted for publication 23 January 2008
Vol. 102, Issue 11, 1772, Version of Record online: 21 NOV 2008
- penile skin;
- oral mucosa;
To compare the results of a one-stage penile flap or graft urethroplasty.
PATIENTS AND METHODS
Sixty-three patients had a penile urethroplasty using one-stage techniques; 18 (29%) had a one-stage flap urethroplasty and 45 (71%) a one-stage urethroplasty using skin (23) or oral mucosal (22) grafts. The clinical outcome was considered a failure when any instrumentation was needed after surgery.
The mean follow-up was 55 months; of the 63 procedures, 48 (76%) were successful and 15 (24%) failures. Of 18 patients who had a one-stage flap urethroplasty, 12 (67%) were successful and six (33%) were failures; of the 45 who had one-stage graft urethroplasty, 36 (80%) were successful and nine (20%) were failures; of 23 penile skin grafts, 18 (78%) were successful and five (22%) were failures; and of 22 oral mucosal grafts, 18 (82%) were successful and four (18%) were failures.
The use of grafts for one-stage penile urethroplasty gave a higher success rate (80%) than flaps (67%). The difference in the success rate between oral mucosal grafts (82%) and skin grafts (78%) was not clinically significant.