{"id":998,"date":"2020-04-14T15:05:21","date_gmt":"2020-04-14T15:05:21","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=998"},"modified":"2020-04-14T15:06:12","modified_gmt":"2020-04-14T15:06:12","slug":"998","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=998","title":{"rendered":"MUCOSA BUCAL EN ESTENOSIS DISTAL. MULTIESTUDIO DE 68 PACIENTES"},"content":{"rendered":"
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WORLD J UROL. <\/span>2020 Jan 1.<\/span><\/p>\n<\/div>\n

doi: 10.1007\/s00345-019-03061-6.<\/span> Online ahead of print.<\/span><\/p>\n<\/div>\n

Transurethral Ventral Buccal Mucosa Graft Inlay for Treatment of Distal Urethral Strictures: International Multi-Institutional Experience<\/h1>\n
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Michael Daneshvar<\/a>\u00a0<\/span>1<\/a><\/sup>,\u00a0<\/span><\/span>Jay Simhan<\/a>\u00a0<\/span>2<\/a><\/sup>,\u00a0<\/span><\/span>Stephen Blakely<\/a>\u00a0<\/span>1<\/a><\/sup>,\u00a0<\/span><\/span>Javier C Angulo<\/a>\u00a0<\/span>3<\/a>\u00a0<\/span>4<\/a><\/sup>,\u00a0<\/span><\/span>Jacob Lucas<\/a>\u00a0<\/span>2<\/a><\/sup>,\u00a0<\/span><\/span>Craig Hunter<\/a>\u00a0<\/span>5<\/a><\/sup>,\u00a0<\/span><\/span>Justin Chee<\/a>\u00a0<\/span>6<\/a><\/sup>,\u00a0<\/span><\/span>Damian Lopez Alvarado<\/a>\u00a0<\/span>7<\/a><\/sup>,\u00a0<\/span><\/span>Erick Alejandro Ramirez Perez<\/a>\u00a0<\/span>8<\/a><\/sup>,\u00a0<\/span><\/span>Alosh Madala<\/a>\u00a0<\/span>9<\/a><\/sup>,\u00a0<\/span><\/span>Juan Jos\u00e9 de Benito<\/a>\u00a0<\/span>10<\/a><\/sup>,\u00a0<\/span><\/span>Francisco Martins<\/a>\u00a0<\/span>11<\/a><\/sup>,\u00a0<\/span><\/span>Jo\u00e3o Fel\u00edcio<\/a>\u00a0<\/span>11<\/a><\/sup>,\u00a0<\/span><\/span>Paul Rusilko<\/a>\u00a0<\/span>12<\/a><\/sup>,\u00a0<\/span><\/span>Brian J Flynn<\/a>\u00a0<\/span>13<\/a><\/sup>,\u00a0<\/span><\/span>Dmitriy Nikolavsky<\/a>\u00a0<\/span>14<\/a><\/sup><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/header>\n
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Abstract<\/h2>\n
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Purpose: <\/strong>To critically evaluate a multi-institutional patient cohort undergoing single-stage distal urethral repair using a novel transurethral buccal mucosa graft inlay urethroplasty technique (TBMGI).<\/p>\n

Methods: <\/strong>A retrospective multi-institutional review of consecutive patients with fossa navicularis (FN) strictures treated with a single-stage TBMGI technique at 12 institutions from March 2014-March 2018 was performed. Patient demographics, stricture characteristics, clinical and patient-reported outcomes were analyzed. The primary outcomes were stricture recurrence and complications. Secondary outcomes were change in maximum urinary flow rate (Qmax), PVR, and changes in IPSS, SHIM and global response assessment (GRA) questionnaire responses. Descriptive statistical analysis was used for evaluation of outcomes.<\/p>\n

Results: <\/strong>Sixty-eight men met inclusion criteria. Median age and stricture length were 60 years (IQR 48-69) and 2 cm (IQR 2-3), respectively. Most common stricture etiology was lichen sclerosus (34%). Median operative time and EBL were 72 min (IQR 50-120) and 20 mL (IQR 10-43), respectively. Fifty-seven men completed \u2265 12-month follow-up. At a median follow-up of 17 months (IQR 13-22), 54 patients (95%) remained stricture-free. Median Qmax improved from 5 to 18 mL\/s (p < 0.0001), PVR 76-21 mL (p < 0.0001), and IPSS 15-5 (p < 0.0001); IPSS-QOL score: 5-1 (p < 0.0001). SHIM score did not significantly change following repair (median 22-21 p = 0.85). On GRA assessment, a majority of men reported \u00abmarked\u00bb (64%) or \u00abmoderate\u00bb (28%) overall improvement. No patient developed fistula, glanular dehiscence, graft necrosis or chordee.<\/p>\n

Conclusions: <\/strong>This novel minimally invasive transurethral urethroplasty technique is feasible and has demonstrated generalizable outcomes in a multi-institutional cohort with varying etiologies.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

WORLD J UROL. 2020 Jan 1. doi: 10.1007\/s00345-019-03061-6. Online ahead of print. Transurethral Ventral Buccal Mucosa Graft Inlay for Treatment of Distal Urethral Strictures: International Multi-Institutional Experience Michael Daneshvar\u00a01,\u00a0Jay Simhan\u00a02,\u00a0Stephen Blakely\u00a01,\u00a0Javier C Angulo\u00a03\u00a04,\u00a0Jacob Lucas\u00a02,\u00a0Craig Hunter\u00a05,\u00a0Justin Chee\u00a06,\u00a0Damian Lopez Alvarado\u00a07,\u00a0Erick Alejandro Ramirez …<\/p>\n

MUCOSA BUCAL EN ESTENOSIS DISTAL. MULTIESTUDIO DE 68 PACIENTES<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,4],"tags":[],"class_list":["post-998","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra","category-bibliografiainteres"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/998","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=998"}],"version-history":[{"count":2,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/998\/revisions"}],"predecessor-version":[{"id":1000,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/998\/revisions\/1000"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=998"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=998"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}