Modified one-stage dorsal-inlay buccal mucosa graft technique for ventral penile urethral and penile skin erosion: A step-by-step guide

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• 作者：Lennert Van Putte^a ; ^{Lennert.vanputte@gmail.com} ; Gunter De Win^a ; ^b
• 关键词：Urethral erosion ; Urethral laceration ; Penile urethroplasty ; Buccal mucosa ; Graft
• 刊名：Arab Journal of Urology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：14
• 期：4
• 页码：312-316
• 全文大小：1006 K
• 卷排序：14

文摘

To demonstrate the use of a modified single-stage technique for the repair of a ventral penile urethral erosion with involvement of the penile skin, as penile urethral erosion is a rare but potential complication of chronic indwelling catheterisation with a lack of available recommendations for reconstructive options.Patient and methodsA 44-year-old male with paraplegia, neurogenic bladder dysfunction and chronic sacral decubitus, presented with a large mid-penile erosion of the ventral penile shaft and urethra, which was caused by chronic transurethral indwelling catheterisation while being hospitalised in an intensive care unit. The reconstruction involved a single-stage dorsal-inlay buccal mucosa graft urethroplasty (Asopa) in addition to the second stage of a two-stage urethroplasty. The urethroplasty as well as the buccal mucosa graft harvest were performed by a single team.ResultsThe modified single-stage urethroplasty procedure had a duration of 158 min with a postoperative hospitalisation of 3 days. At 8-months follow-up, the lesion had fully healed and the patient was back on clean intermittent self-catheterisation with solifenacin 10 mg daily. No complications occurred postoperatively.ConclusionThe modified single-stage dorsal-inlay technique is a viable method for repairing ventral penile urethral erosion with involvement of penile skin.