Abstract
Background: The aim of this study was to evaluate the success of ventral onlay urethroplasty in the treatment of bulbar urethral strictures. Patients and Methods: The files of patients with bulbar stricture-disease treated with ventral onlay urethroplasty between January 2000 and July 2004 were retrospectively analysed. Forty-one patients with a mean age of 44.7 years (range 14–76 years) were included. Genital skin was used as a graft in 33 patients and buccal mucosa in 8 patients. The median follow-up was 3 years (range 1–5 years). If recurrence was suspected (clinical and/or on uroflowmetry), urethrography was performed. Need for any further instrumentation or re-operation was considered as a failure. Results: The mean stricture length was 5.2 cm (range 3–8 cm). Two complications (4.9%) were noted: 1 patient developed orchiepididymitis and another suffered from neuralgic pain in the region of the ischial nerve. Three patients (2 genital skins, 1 buccal mucosa) developed a recurrence of the stricture-disease. The final success rate was 92.7%. Conclusion: Ventral onlay urethroplasty remains a good technique in the treatment of bulbar urethral strictures that can not be treated with end-to-end anastomosis.
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