Application of a free flap from urinarybladder mucosa for urethroplasty in experiment


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Abstract

Experiments on 8 rabbits have demonstrated that mucosa of the
urinary bladder freely transplanted into the subcutaneous fat or under
the muscular fascia is engrafted with unaffected normal histological
structure and revascularized with vessels invading from the adjacent
tissues. Urethroplasty with a vesical mucosa graft was made in 10 dogs
with experimental urethral stricture (4 animals), urethral fistula (5 animals)
or a combination of urethral stricture and fistula (1 animal).
A positive result with reestablishment of normal urethral passability
and elimination of urinary fistula was achieved in 9 animals (follow-up
for 1 year). One dog died of an unknown cause. Urodynamic examination
of the dogs in long-term follow-up reported normal urethral
resistance to urinary flow.

References

  1. Кудрявцев Л. А. Оперативные методы лечения последствий травм уретры. Самара; 1993.
  2. Русаков В. И. Хирургия мочеиспускательного канала. М.: Медицина; 1991.
  3. Devine С. J. Jr. Surgery of urethra. In: Campbell's urology. 5- th ed. Philadelphia: W. B. Saunders Company; 1986. 2869.
  4. Красулин В. В., Серебренников С. М., Жульнев А. П., Чибичян М. Б. Хирургическое лечение стриктур и облитераций уретры. Ростов-н/Д; 2000.
  5. Van der Werff J. F., Van der Meulen J. С. Treatment modalities for hypospadias cripples. Plast. Reconstr. Surg. 2000; 105 (2): 600-608.
  6. Marte A., Cotrufo A. M., Bel Монако С. et al. Innesti di lembn liberti di mucosa buccale nei reinterventi di ipospadia. Minerva Pediatr. 2000; 52 (12): 713-717.
  7. Riccabona M. Reconstruction or substitution of the pediatric urethra with buccla mucosa: indications, technical aspects and results. Tech. Urol. 1999; 3 (5): 133-138.
  8. Castanon M., Grande C., Munos M. E. et al. Tratamiento de los hipospadias escrotales graves medianteuretroplastia tipo onlay con mucosa oral. Cir. Pediatr. 1999; 12 (3): 90-93.
  9. Martinez-Pineiro J. A., Martinez-Pineuro L., Tabemero A. Uretroplastias de sustitucion con injerto libre de mucosa bucal. Arch. Esp. Urol. 1999; 52 (9): 967-972.
  10. Kropfl D., Tucak A., Prlic D., Verweyen A. Using buccal mucosa for urethral reconstruction in primary and re-operative surgery. Eur. Urol. 1998; 34 (3): 216-220.
  11. Piro C., De Diego M., Martin J. A. et al. Reconstruccion uretral con injerto autologo de mucosa oral. Cir. Pediatr. 1998; 11 (2): 71-72.
  12. DuckettJ. W., Coplen D., Ewalt D., Baskin L. S. Buccal mucosal urethral replacement. J. Urol. (Baltimore) 1995; 153 (5): 1660- 1663.
  13. Dessanti A., Porcu A., Scanu A. M. et al. Labial mucosa and combined labial/bladder mucosa free graft for urethral reconstruction. J. Pediatr. Surg. 1995; 30 (11): 1554-1556.
  14. Ozgok Y., Ozgur Tan M., Kilciler M. et al. Use of bladder mucosal graft for urethral reconstruction. Int. J. Urol. 2000; 7 (10): 355-360.
  15. Garat J.M., Villavicencio H. Posterior urethroplasty with tabularized bladder mucosal graft. J. Urol. (Baltimore) 1991; 148: 1615-1617.
  16. Абдуллаев И. А., Адамян Р. Т., Гагарина С. В. Пригодность свободного кожного лучевого васкуляризированного лоскута для заместительной уретропластики. Андрол. и генат. хир. 2000; 2: 43-48.
  17. Ghati A. M., El-Malik E. M., Al-Malki Т., Ibrahim A. H. Onestage hypospadias repair. Experience with 544 cases. Eur. Urol. 1999; 36 (5): 436-442.
  18. Castanon M., Munoz E., Carrasco R. et al. Treatment of proximal hypospadias with a tubulerized island flap urethroplasty and the onlay technique: a comparative study. J. Pediatr. Surg. 2000; 35 (10): 1435-1455.

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