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CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2021; 30(03): e217-e222
DOI: 10.1055/s-0039-1696697
Artículo de Revisión | Review Article
Reconstructive urology / Urología Reconstructiva

Uretroplastia bulbar con injerto: Una actualización sobre las diferentes técnicas quirúrgicas

Graft Urethroplasty for Bulbar Strictures: An Update on the Different Surgical Techniques
Eduar S. Rodríguez 
1   Residente de Urología, Universidad El Bosque, Bogotá, Colombia
,
Laura A. Serna
2   Médica General, Universidad El Bosque, Bogotá, Colombia
,
Wilmer A. Agressot
3   Urólogo, Universidad Militar Nueva Granada, Bogotá, Colombia
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Resumen

En pacientes con estrechez uretral bulbar de una longitud mayor a 2 cm, que no sean candidatos a otras técnicas, se realiza uretroplastia con injerto. Actualmente se emplean diversas técnicas, cada una con ventajas y desventajas propias.

Describir las ventajas y desventajas de las técnicas quirúrgicas empleadas actualmente en la uretroplastia con injerto, así como sus tasas de éxito.

Se hizo una búsqueda en PubMed, ClinicalKey y en ScienceDirect, utilizando las palabras claves: “urethral stricture,” “urethroplasty,” “oral graft” y “flap.” Se utilizaron los estudios más relevantes, tanto originales como revisiones sistemáticas y meta-análisis, en inglés y en español.

Las diferentes técnicas quirúrgicas ofrecen ventajas y desventajas teóricas frente a las otras, aunque las tasas de éxito en todas es cercana al 90%, sin ser una francamente superior frente a las demás.

La elección de la técnica quirúrgica a realizar depende de las preferencias y experiencia del cirujano, dado que la tasa de éxito para todas las técnicas es similar.

Abstract

In patients with urethral stricture longer than 2 cm who are not candidates for other techniques, graft urethroplasty is the most performed surgery. Currently, several techniques are used, each with their own advantages and disadvantages.

Describe the advantages and disadvantages of the surgical techniques currently used in graft urethroplasty, as well as their success rates.

A search was made in PubMed, ClinicalKey and ScienceDirect, using the keywords: “urethral stenosis,” “urethroplasty,” “oral graft” and “flap.” The most relevant original studies, systematic reviews and meta-analyzes were used, both in English and Spanish.

The different surgical techniques offer theoretical advantages compared with the others, although the success rates in all are close to 90%, without being frankly superior compared with the others.

The choice of the surgical technique to be performed depends on the preferences and experience of the surgeon, given that the success rate for all techniques is similar.

Palabras claves

uretroplastia - injerto de mucosa oral - estrechez uretral - colgajo

Keywords

urethral stricture - urethroplasty - oral graft - flap


Publication History

Received: 07 December 2018

Accepted: 18 July 2019

Article published online:
30 September 2021

© 2021. Sociedad Colombiana de Urología. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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