Editorial Comment: Dorsal oral mucosa graft in combination with ventral penile flap as an alternative to repair obliterative stenosis of the anterior urethra in a single surgical time

Recently we comment in International Brazilian Journal of Urology a important paper about the use of penile skin fap in anterior penile urethral stricture (¹, ²). In this previous paper Dr. Hmida shows that penile skin ap is easy to perform, do not need urethral mobilization and had a success rate of 88%. In the present paper, Dr. Giudice in a interesting prospective study with the use in a single procedure the combination of dorsal onlay oral mucosa graft and ventral fasciocutaneous penile skin flap in in 21 patients with long segment urethral obliteration and shows that in only 14% of the patients the procedure failed. There are several options for the treatment of anterior urethral stricture (²–⁴). For long anterior strictures the use of grafts is very usual (⁴–⁶). The buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (², ⁷). In this paper the authors shows that the combination of the two methods (dorsal onlay oral mucosa graft and ventral fasciocutaneous penile skin flap) could be a great option in complex cases of penile urethral stricture.

REFERENCES

• ¹
  Favorito LA. Bulbar urethral stricture: penile skin flap may be a good option? Int Braz J Urol. 2019;45:871-2.
• ²
  Hmida W, Othmen MB, Bako A, Jaidane M, Mosbah F. Penile skin flap: a versatile substitute for anterior urethral stricture. Int Braz J Urol. 2019;45:1057-63.
• ³
  Giudice CR, Becher E, Olivares AM, Tobía I, Favre GA. Dorsal oral mucosa graft in combination with ventral penile flap as an alternative to repair obliterative stenosis of the anterior urethra in a single surgical time. Int Braz J Urol. 2020;46:83-9.
• ⁴
  Prakash G, Singh BP, Sinha RJ, Jhanwar A, Sankhwar S. Is circumferential urethral mobilisation an overdo? A prospective outcome analysis of dorsal onlay and dorso - lateral onlay BMGU for anterior urethral strictures. Int Braz J Urol. 2018;44:323-9.
• ⁵
  Favorito LA, Conte PP, Sobrinho UG, Martins RG, Accioly T. Double inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture. Int Braz J Urol. 2018;44:838-9.
• ⁶
  Alsagheer GA, Fathi A, Abdel-Kader MS, Hasan AM, Mohamed O, Mahmoud O, et al. Management of long segment anterior urethral stricture (≥ 8cm) using buccal mucosal (BM) graft and penile skin (PS) flap: outcome and predictors of failure. Int Braz J Urol. 2018;44:163-71.
• ⁷
  Barbagli G, Palminteri E, Guazzoni G, Montorsi F, Turini D, Lazzeri M. Bulbar urethroplasty using buccal mucosa grafts placed on the ventral, dorsal or lateral surface of the urethra: are results affected by the surgical technique? J Urol. 2005;174:955-7. discussion 957-8.

Publication Dates

• Publication in this collection
  13 Jan 2019
• Date of issue
  Jan-Feb 2020

History

• Received
  10 Sept 2019
• Accepted
  30 Sept 2019