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Endoscopic holmium laser harvesting of bladder mucosal graft for urethroplasty: retrospective analysis of single center preliminary results. | LitMetric

AI Article Synopsis

  • Urethral stricture disease (USD) has an incidence of 0.6-1.2%, and this study assessed the effectiveness of using endoscopically harvested bladder mucosal grafts for urethroplasty following a recent technique introduced in 2022.
  • The research reviewed 14 patients (8 male, 6 female) who underwent this procedure between December 2022 and May 2023, with a mean age of 53 and a mean stricture length of 4.35 cm.
  • The findings suggest that this method has potential, though results indicate a low postoperative flow rate in some patients, highlighting the need for further research to explore its role in urethral reconstruction.

Article Abstract

Purpose: Urethral stricture disease (USD) incidence is estimated to be as high as 0.6-1.2%. In 2022, it was published that the bladder mucosal graft to be used in urethroplasty can be obtained endoscopically with a holmium laser. We aimed to present our single center graft urethroplasty results obtained with the endoscopic holmium laser harvesting of bladder mucosal graft technique.

Methods: We retrospectively reviewed the results of patients who underwent bladder mucosal graft (BlMG) urethroplasty by single surgeon at our center hospital between December 2022 and May 2023.

Results: A total of 14 patients underwent BlMG urethroplasty surgery. Of them 8 were male and 6 were female patients. The mean patient age was 53 (range 26-76) years. The mean length of stricture was 4,35 (range 1-11) cm. The maximum postoperative flow rate was < 10 ml/sec in three of the 14 patients.

Conclusion: To our knowledge this is the first study investigating the preliminary results of substitution urethroplasties that is performed with bladder mucosal grafts harvested with laser energy via transurethral (endoscopic) route. Though more work is needed to better understand its current role in complex urethral reconstruction, our patient cohort will be a niche for further studies.

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Source
http://dx.doi.org/10.1007/s00345-024-05367-6DOI Listing

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