Hypospadias repair by bladder mucosal graft

An initial report

Ross Decter, D. R. Roth, E. T. Gonzalez

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Surgical correction of major hypospadias defects is a challenging problem. Bladder mucosa has been reported as an excellent tissue for construction of a neourethra. We used bladder mucosa in 13 boys to create 15 neourethras when there was inadequate preputial skin to perform a vascularized pedicle flap or a free preputial graft. In 3 cases a bladder mucosa graft was used for initial repair of the hypospadias. All other boys had undergone prior hypospadias surgery. In 4 boys the initial result was satisfactory. Seven minor complications occurred in 5 boys, while 4 had more major complications. In 2 boys severe problems with stricture necessitated graft replacement and a satisfactory outcome has not been achieved. Our problems with stricture and stenosis seem to be related to the use of a subcutaneous tunnel for the graft bed and coring of the glans to create the meatus. Over-all, in 11 of the 13 boys the bladder mucosal graft provided an excellent resolution of the complex problem with easily managed postoperative complications.

Original languageEnglish (US)
Pages (from-to)1256-1258
Number of pages3
JournalJournal of Urology
Volume140
Issue number5 PART II
StatePublished - Jan 1 1988

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Hypospadias
Urinary Bladder
Transplants
Pathologic Constriction
Mucous Membrane
Skin

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Decter, R., Roth, D. R., & Gonzalez, E. T. (1988). Hypospadias repair by bladder mucosal graft: An initial report. Journal of Urology, 140(5 PART II), 1256-1258.
Decter, Ross ; Roth, D. R. ; Gonzalez, E. T. / Hypospadias repair by bladder mucosal graft : An initial report. In: Journal of Urology. 1988 ; Vol. 140, No. 5 PART II. pp. 1256-1258.
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Decter, R, Roth, DR & Gonzalez, ET 1988, 'Hypospadias repair by bladder mucosal graft: An initial report', Journal of Urology, vol. 140, no. 5 PART II, pp. 1256-1258.

Hypospadias repair by bladder mucosal graft : An initial report. / Decter, Ross; Roth, D. R.; Gonzalez, E. T.

In: Journal of Urology, Vol. 140, No. 5 PART II, 01.01.1988, p. 1256-1258.

Research output: Contribution to journalArticle

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AB - Surgical correction of major hypospadias defects is a challenging problem. Bladder mucosa has been reported as an excellent tissue for construction of a neourethra. We used bladder mucosa in 13 boys to create 15 neourethras when there was inadequate preputial skin to perform a vascularized pedicle flap or a free preputial graft. In 3 cases a bladder mucosa graft was used for initial repair of the hypospadias. All other boys had undergone prior hypospadias surgery. In 4 boys the initial result was satisfactory. Seven minor complications occurred in 5 boys, while 4 had more major complications. In 2 boys severe problems with stricture necessitated graft replacement and a satisfactory outcome has not been achieved. Our problems with stricture and stenosis seem to be related to the use of a subcutaneous tunnel for the graft bed and coring of the glans to create the meatus. Over-all, in 11 of the 13 boys the bladder mucosal graft provided an excellent resolution of the complex problem with easily managed postoperative complications.

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Decter R, Roth DR, Gonzalez ET. Hypospadias repair by bladder mucosal graft: An initial report. Journal of Urology. 1988 Jan 1;140(5 PART II):1256-1258.