Tubal Buccal Mucosa Graft without Anastomosis of the Proximal Urethra for Long Segment Posterior Urethral Defect Repair
민병달, 이의태, 김원태, 김용준, 윤석중, 이상철, 김원재,
소속 상세정보
민병달 ( Min Byung-Dal )
Chungbuk National University College of Medicine Department of Urology
이의태 ( Lee Eui-Tai )
Chungbuk National University College of Medicine Department of Plastic and Reconstructive Surgery
김원태 ( Kim Won-Tae )
Chungbuk National University College of Medicine Department of Urology
김용준 ( Kim Yong-June )
Chungbuk National University College of Medicine Department of Urology
윤석중 ( Yun Seok-Joong )
Chungbuk National University College of Medicine Department of Urology
이상철 ( Lee Sang-Cheol )
Chungbuk National University College of Medicine Department of Urology
김원재 ( Kim Wun-Jae )
Chungbuk National University College of Medicine Department of Urology
KMID : 0358320120530100737
Abstract
A 31-year-old man was referred for further management of a urethral stricture. He was a victim of a traffic accident and his urethral injury was associated with a pelvic bone fracture. He had previously undergone a suprapubic cystostomy only owing to his unstable general condition at another hospital. After 3 months of urethral injury, direct urethral anastomosis was attempted, but the surgery failed. An additional 4 failed internal urethrotomies were performed before the patient visited Chungbuk National University Hospital. Preoperative images revealed complete posterior urethral disruption, and the defect length was 4 cm. We performed a buccal mucosa tubal graft without anastomosis of the proximal urethra for a long segment posterior urethral defect. The Foley catheter was removed 3 weeks after the operation and the patient was able to void successfully. After 8 months, he had normal voiding function without urinary incontinence.
키워드
Mouth mucosa; Transplants; Urethral stricture
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