Flaps and grafts, urethroplasties one or more times

Written by: Dr. Francisco Javier Machuca Santa-Cruz
Published: | Updated: 14/11/2018
Edited by: Top Doctors®

flaps and grafts surgery Longer bulbar urethral stricture or those located in the penile urethra require tissue transfer techniques (grafts or flaps).

The choice of either depends on the preference and experience of the surgeon, since the results are similar recurrence. When it is required to replace the entire circumference of the urethra, it is preferable urethroplasty in two or more times.


Difference between a flap and graft

The skin flap is a piece of skin that is moved or rotated to the area to be covered. In this case, the open area is usually urethra, which has an intact vascular pedicle is essential to maintain its vitality.

Grafting involves the transfer of tissue to tissue devascularized whose nutrition and vitality will depend directly on the receiving area. In urethral surgery, grafts are most commonly used preputial the skin and oral mucosa.


Urethroplasty in two or more times

Experts in Urology often recommend this surgery in complex stenosis. Its procedure is as follows:

- In the first operation, cleaves or urethra ill with a graft expands.

- Thereafter, urethra open for a period of time and when the tissues have healed, subtracting in good condition is left, a second operation is performed.

- This second intervention will serve to close the urethra and restore the continuity of the same.

*Translated with Google translator. We apologize for any imperfection

By Dr. Francisco Javier Machuca Santa-Cruz

Renowned specialist in Urology, Dr. Machuca Santa-Cruz is Bachelor of Medicine and Surgery at the University of Malaga, a specialist in urology, internal-resident physician at the Hospital La Paz in Madrid since 1981. Between 2008 and 2014, has been Head of the Management Unit of Urology at the Hospital Virgen de la Victoria. He combines his clinical work with training for professionals and students in the field of urethral surgery and the use of laparoscopy. In addition, he is an honorary professor of the Faculty of Medicine and Professor of Malaga Masters in Pediatric Urology at the International University of Andalusia. Author and co-author of over 100 articles published and presented in scientific journals, book chapters, papers and presentations at conferences of national and international scope. His career premier has been recognized with various awards among which is accorded by the European Association of Urology through labor "Clinical Case Competition: urogenital sinus cyst" in 1987. Member of the main scientific associations urology.

*Translated with Google translator. We apologize for any imperfection

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