IMR Press / JOMH / Volume 18 / Issue 9 / DOI: 10.31083/j.jomh1809189
Open Access Original Research
Preliminary Application of a Novel Anatomic Urethroplasty Technique Using Everted Saphenous Vein Graft for Long Penile Urethral Strictures
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1 Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071 Wuhan, Hubei, China
2 Center for Evidence-based and Translational Medicine, Wuhan University, 430071 Wuhan, Hubei, China
3 Department of Urology, the First Affiliated Hospital of Xian Jiaotong University, 710061 Xi'an, Shaanxi, China
*Correspondence: 13697326659@139.com (Xinjun Su); hedl@mail.xjtu.edu.cn (Dalin He)
J. Mens. Health 2022, 18(9), 189; https://doi.org/10.31083/j.jomh1809189
Submitted: 11 February 2022 | Revised: 16 March 2022 | Accepted: 31 March 2022 | Published: 9 September 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: This paper reports two cases of anatomic urethroplasty (AU) using everted saphenous vein graft (eSVG) with long penile urethral strictures. The preliminary feasibility and safety of the operation are also analyzed. Methods: Two men with penile urethral strictures (5.5 cm and 5.0 cm) were treated with AU using eSVG. The highlight of this novel surgical technique was the anatomical repair of the layer of the narrowed urethral wall without affecting the continuity of the layer of corpus spongiosum. Moreover, the pre- and postoperative Urodynamics and Night Penis Tumescence and Rigidity test results were compared. Results: Complications, such as hematoma, urinary fistula, or urethral strictures, were not observed at 2 weeks postoperatively. At 6 months postoperatively, the urination status and urodynamic indexes of the patients had significantly improved compared with that preoperatively. There was no significant change in erection function before and after the operation. Conclusions: Repairing long penile urethral strictures with AU using eSVG is safe and feasible and can be used as an alternative treatment method.

Keywords
urethral stricture
everted saphenous vein graft
urethroplasty
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Funding
WJ2018H0020/ Hubei Province health and family planning scientific research project
2042016kf0187/ Fundamental Research Funds for the Central Universities
2042017kf0068/ Fundamental Research Funds for the Central Universities
znpy2016022/ Zhongnan Hospital of Wuhan University Science, Technology and Innovation Seed fund
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