Abstract

VICENTE PRADOS, Francisco Javier et al. Dorsal onlay urethroplasty with foreskin mucosa free graft (Barbagli`s technique): preliminary results of our case series. Arch. Esp. Urol. [online]. 2006, vol.59, n.9, pp.859-866. ISSN 0004-0614.

Objectives: We evaluate the indication and results in the treatment of complex urethral stenosis by the Barbagli`s technique. METHODS: We retrospectively review 8 patients undergoing dorsal onlay urethroplasty with foreskin mucosa free graft. We analyze their preoperative characteristics. Mean stenosis length was 6.25 cm and the site was bulbar urethra in seven cases and penile in one. Mean preoperative flow was 8.78 ml/sec. We describe the technique and present our results.  Results: There are 87.5% of goods results (cure of the stenosis) with 22 months of mean follow-up. Only one patient required a second operation (end to end anastomosis) with good outcome.  Conclusions: The dorsal onlay urethroplasty with foreskin mucosa free graft is an effective technique in long and complex urethral stenosis, and we consider it the technique of first choice in view of our results.

Keywords : Urethral stenosis; Dorsal urethroplasty; Foreskin mucosa.

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