Reconstructive surgery of the long urethral strictures in patients with penile sclerotic lichen

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Abstract

Summarized the experience of surgical treatment of 21 patients with extensive urethral stricture caused by sclerotic lichen. The average age of the patients was 38.5 years and ranged from 18 to 54 years. The length of urethral strictures in the observed patients was from 3.5 to 18.0 cm, and an average of 6,5 ± 1,5 cm. All patients underwent the replacement urethroplasty by buccal mucosa graft. Mean operative time was 110 minutes. There wasn't intraoperative complications of urethra and the mouth. The healing occurred by first intention in all patients. The results showed that the reconstructive surgery by buccal mucosal graft is an effective method of surgical treatment of long urethral strictures caused by sclerotic lichen.

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About the authors

Dilshod Nigmatovich Solichov

Avicenna Tajik State Medical University

Email: 49@tadjmedun.tj
doctor of medical science, head of the Urology Department

Abdurasul Gafurovich Gafurov

Avicenna Tajik State Medical University

Email: 49@tadjmedun.tj
candidate of medical science, associate professor, Urology Department

Hairiddin Hairulloevich Rizoev

Avicenna Tajik State Medical University

Email: 49@tadjmedun.tj
candidate of medical science, Urology Department

References

  1. Трапезникова М. Ф., Базаев В. В., Лукьянчиков А. Г. и др. Пластика протяженных рецидивных стриктур передней уретры свободным трансплантатом буккальной слизистой // Урология. 2006. № 1. C. 3-7.
  2. Щеплев П. А., Зайцев Н. В., Ипатенков В. В. и др. Опыт заместительной уретропластики с использованием трансплантата слизистой щеки у больных со стриктурой уретры // Андрол. и генит. хир. 2004. № 4. С. 44-48.
  3. Barbagli G., Palminteri E., Gaazzoni G., Cavalcanti A. Bulbar uretroplasty using the dorsal approach: current techniques // Inter Braz J Urol. 2003. Vol. 29. P. 155-161.
  4. Greenwell T. J., Venn S. N., Mundy A. R. Changing practice in anterior uretroplasty // BJU Int. 1999. Vol. 83, N 6. P. 631-635.

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Copyright (c) 2015 Solichov D.N., Gafurov A.G., Rizoev H.H.

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