Urethral stricture disease: Experience with patch graft urethroplasty
Uretheral stricture disease is a relatively common urologic entity. The management of this disease has varied from conservative procedures, such as urethral dilatation and internal urethrotomy with local steroid instillation, to more aggressive surgical procedures, such as primary excision and reanastomosis to substitution urethral reconstruction in single or multiple stages. Today's urologist is presented with a variety of treatment options and procedure for managing urethral strictures. Successful treatment of this disease requires good judgment, technical expertise, and knowledge of the 'selected treatment option'. Realizing that recalibration of urethral stricture by dilators is seldom curative, and that repeated difficult dilations portend false passages and urinary extravasation with a revolving financial expense, we have sought a treatment plan that was definitive, of proven success, could be accomplished by the average surgeon, single-staged, of short convalescence, and economically acceptable. The full-thickness skin graft urethroplasty fulfilled the above criteria. In the past three years, we have performed 21 patch graft urethroplasties in 20 selected patients. Our experience with patch graft urethroplasties is reported herein.