A new option to prevent fistulas in anterior urethroplasty in patients with kippered urethra: the tunica vaginalis flap.
Fistula
Tunica Intima
Urethra
Journal
International braz j urol : official journal of the Brazilian Society of Urology
ISSN: 1677-6119
Titre abrégé: Int Braz J Urol
Pays: Brazil
ID NLM: 101158091
Informations de publication
Date de publication:
Historique:
received:
04
12
2020
accepted:
09
01
2021
entrez:
14
7
2021
pubmed:
15
7
2021
medline:
10
8
2021
Statut:
ppublish
Résumé
The objective of this study is describing a technique with the use of a tunica vaginalis flap (TVF) to cover the suture line during anterior urethroplasty in patients with kippered urethra due to chronic indwelling catheterization (CIC). We studied 5 patients (mean age=50.2) with a neurogenic bladder that developed urethral erosion after a long period of CIC. Foley catheter was removed on the 14th postoperative day. One patient developed wound infection and utethrocutaneous fistula, which was conservatively managed and after 12 months of follow-up all the patients didn't report difficulties in intermittent self-catheterization. In conclusion, a urethroplasty with TVF technique may be a viable method for repairing penile urethral erosions, but further studies are required with a bigger sample to confirm our results.
Identifiants
pubmed: 34260180
doi: 10.1590/S1677-5538.IBJU.2020.1058
pii: IBJU20201058
pmc: PMC8321442
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1032-1036Informations de copyright
Copyright® by the International Brazilian Journal of Urology.
Déclaration de conflit d'intérêts
None declared.
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