Uso de mucosa prepucial na estenose e hipospadia da uretra, Hospital Nacional "Guido Valadares" de Timor Oriental
Palavras-chave:
hipospádia, cirurgia, mucosa prepucial, uretroplastiaResumo
Foi apresentado um caso no Departamento de Urologia do Hospital Nacional "Guido Valadares" de Timor Oriental, com diagnóstico de retenção urinária completa, insuficiência renal aguda obstrutiva pós-renal, hidronefrose bilateral e estenose e hipospádia uretral, para demonstrar a utilização da mucosa prepucial para hipospádia que coincide com estenose uretral. O procedimento cirúrgico consistiu em uma uretroplastia com mucosa prepucial. A reconstrução total da uretra afetada foi alcançada, com bons resultados estéticos e funcionais finais. O uso da mucosa oral foi muito útil no manejo do paciente.
Downloads
Referências
2. Barbagli G. Controversies in urethral reconstruction. Minerva Urol Nefrol [en línea]. 2011 [citado 5 Jul 2018]; 63(3):251-260. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21993323
3. Barbagli G, Balò S, Sansalone S, Lazzeri M. Dorsal onlay graft bulbar urethroplasty using buccal mucosa. Afr J Urol [en línea]. 2016 [citado 5 Jul 2018]; 22(1):5-10. Disponible en: https://www.sciencedirect.com/science/article/pii/S1110570415001034
4. Anger JT, Buckley JC, Santucci RA, Elliott SP, Saigal CS; Urologic Diseases in America Project. Trends in stricture management among male Medicare beneficiaries: underuse of urethroplasty? Urology [en línea]. 2011 [citado 20 Feb 2018]; 77(2):481-5. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21168194?dopt=Abstract
5. Santucci R, Eisenberg L. Urethrotomy has a much lower success rate than previously reported. J Urol [en línea]. 2010 May [citado 20 Feb 2018]; 183(5):1859-62. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20303110?dopt=Abstract
6. Barbagli G, Lazzeri M. Surgical treatment of anterior urethral stricture diseases: brief overview. Int Braz J Urol [en línea]. 2007 Jul-Aug [citado 17 Jul 2018]; 33(4):[aprox.9 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/17767749
7. Zimmerman WB, Santucci RA. A simplified and unified approach to anterior urethroplasty. Nat Rev Urol. [en línea]. 2010 Jul [citado 17 Jul 2018]; 7(7):[aprox.6p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed?term=A%20simplified%20and%20unified%20approach%20to%20anterior%20urethrop
8. Kekre NS. Urethral stricture disease - Have we found the magic wand?. Indian J Urol[en línea]. 2011 Jul [citado 17 Jul 2018]; 27(3): [aprox.2 p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/22022049
9. Mangera A, Patterson JM, Chapple CR. A systematic review of graft augmentation urethroplasty techniques for the treatment of anterior urethral strictures. Eur Urol [en línea]. 2011 May [citado 17 Jul 2018]; 59(5): [aprox.17.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/21353379
10.Barbagli G, Lazzeri M. Surgical treatment of anterior urethral stricture diseases: brief overview.Int Braz J Urol [en línea]. 2007 Jul-Aug [citado 18 Jul 2018]; 33(4):[aprox.p.9.]. Disponible en: http://www.brazjurol.com.br/july_august_2007/Barbagli_ing_461_469.htm
11.Raber M, Naspro R, Scapaticci E, Salonia A, Scattoni V, Mazzoccoli B, et al. Dorsal onlay graft urethroplasty using penile skin or buccal mucosa for repair of bulbar urethral stricture: results of a prospective single center study. Eur Urol [en línea]. 2005 Dec [citado 17 Jul 2018]; 48(6): [aprox.5p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/15970374
12.Hussein MM, Moursy E, Gamal W, Zaki M, Rashed A, Abozaid A. The use of penile skin graft versus penile skin flap in the repair of long bulbo-penile urethral stricture: a prospective randomized study. Urology [en línea]. 2011 May [citado 17 Jul 2018]; 77(5) [aprox.6p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed/ 21208648
13.Singh O, Gupta SS, Arvind NK. Anterior urethral strictures: a brief review of the current surgical treatment. Urol Int [en línea]. 2011 Feb[citado 17 Jul 2018]; 86(1): [aprox.10 p.]. Disponible en: https://preview.ncbi.nlm.nih.gov/pubmed/20956850
14.Vicente Prados FJ, Tallada Buñuel M, Rosales Leal JL, Honrubia Vílchez B, Fernández Sánchez A, Vázquez Alonso F. Dorsal onlay urethroplasty with foreskin mucosa free graft (Barbagli's technique): preliminary results of our case series. JM Arch Esp Urol [en línea]. 2006 Nov [citado 17 Jul 2018 ]; 59(9):[aprox. 8.p]. Disponible en: http://preview.ncbi.nlm.nih.gov
15.Radopoulos D, Tzakas C, Dimitriadis G, Vakalopoulos I, Ioannidis S, Vasilakakis I. Dorsal on-lay preputial graft urethroplasty for anterior urethra strictures repair. Int Urol Nephrol [en línea]. 2007 [citado 17 Jul 2018]; 39(2):[aprox. 7p.]. Disponible en: http://preview.ncbi.nlm.nih.gov/pubmed?term=%22Int%20Urol%20Nephrol%22[Journal]%20AND%202007[PDAT]%20AND%2039[VOL]%20AND%202[ISS]%20AND%20497 -503[PAGE]