Two-stage repair with buccal mucosa for severe and complicated XXXX in adults.

@entity1 @entity5331 @entity2650 @entity39 @entity254 @entity292 @entity86
OBJECTIVES: To report the outcomes of two-stage repair for @entity2650 using a buccal mucosa graft as a tube. METHODS: A total of 57 adult @entity1 who underwent surgery for severe @entity5331 at our institution from January 2002 to March 2010 were included in this analysis. The urethroplasty procedure included penile urethra reconstruction with the buccal mucosa graft used as a tube in the first stage, @entity254 of the unobstructed urethra in the second stage and a scrotal fascio-cutaneous flap transferred to resurface the reconstructed urethra for waterproofing. RESULTS: No complications occurred after the first stage, whereas @entity86 occurred in six cases and @entity39 occurred in two cases after the second stage. All eight of these @entity1 had the complication of @entity292 , which healed after 2-4 weeks by cleaning and changing dressings in six @entity1 . Twelve @entity1 complained of straining at voiding in the early postoperative period. However, nine of these @entity1 had an obvious increase in maximum flow rate without any intervention 3 months after the operation. Follow up ranged from 6 to 62 months (mean 28 months) in 46 @entity1 . Most of the @entity1 presented terminal meatus, no chordee, no urethral stricture and normal voiding. The majority of @entity1 achieved excellent cosmetic and functional results. CONCLUSIONS: A buccal mucosa graft as a tube is a reliable and durable method of two-stage repair for severe and complicated @entity2650 in adults. The use of scrotal flaps seems to contribute to a good vascularized waterproof cover.
