Dessanti, Antonio and Porcu, Alberto and Scanu, Antonio Mario and Dettori, Giuseppe Lorenzo and Caccia, Guido (1995) Labial mucosa and combined labial/bladder mucosa free graft for urethral reconstruction. Journal of Pediatric Surgery, Vol. 30 (11), p. 1554-1556. ISSN 0022-3468. Article.
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One-stage urethral reconstruction was performed using a free graft of labial mucosa and combined labial/bladder muscosa. We present the results of this technique in 12 cases that had a minimum follow-up period of 3 years. Eleven patients had medium penile or posterior hypospadias and one had chordee penis without hypospadias. Urethroplasty with labial mucosa was performed by two techniques: labial mucosa used alone or combined with bladder mucosa. The labial mucosa was harvested from the inner surface of the upper and/or lower lip, depending on which method was used. Seven patients, six with medium penile or posterior hypospadias and 1 with chordee without hypospadias, were given a labial mucosa graft alone; the urethral gap was 3.5 to 6 cm. The other five cases, all with posterior hypospadias, were treated by combined labial/bladder mucosa graft urethroplasty; the urethral gap was 6 to 13 cm. Follow-up (at 3 to 4½ years) showed no complications apart from a urethral fistula in one patient and mild stenosis on the anastomosis in four cases, which required urethral dilatations in the first month after surgery.
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