@Article{,
AUTHOR = {Daniel Pfalzgraf, Luis Kluth, Philip Reiss, 
Margit Fisch, Roland Dahlem},
TITLE = {Staged urethroplasty: comparison of early functional results and quality of life in mesh graft and buccal mucosa technique},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {22},
YEAR = {2015},
NUMBER = {2},
PAGES = {7720--7726},
URL = {http://www.techscience.com/CJU/v22n2/61285},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> To assess bothersome results of surgery and changes in quality of life (QoL) in patients with two-staged urethral reconstruction. In patients requiring two-staged urethroplasty a functional corpus spongiosum is usually absent, and complications such as urinary dribbling, ejaculation problems and penile deviation can be expected. Data on these complications, patient satisfaction and QoL is limited.
<br/>
<b>Materials and methods:</b> Retrospective analysis by chart review and a standardized questionnaire of 19 consecutive patients with urethral strictures treated by two-staged urethroplasty with buccal-mucosa-graft or mesh-graft.
<br/>
<b>Results:</b> Overall success rate was 84%. Mean follow up 11.2 months, mean length of graft 10 cm (3 cm-18 cm). Urinary stress incontinence occurred in 3 patients (16%). No penile shortening occurred in 9 (47%), no deviation in 11 (58%). Two patients (11%) reported a disturbing alteration in glans sensitivity.
<br/>
Regarding bother by both surgeries and the interval in between, 21% judged the first surgery as hardly or not bothersome. The time in between surgeries was hardly or not bothersome in 52% and the second surgery not or hardly bothersome in 26%.
<br/>
Overall satisfaction with surgery was high (79%) and an improvement in QoL was reported by 63%. Differences between the two groups did not reach statistical significance.
<br/>
<b>Conclusion:</b> Two-staged urethroplasty is a viable therapeutic option in patients with severe spongiofibrosis. However, specific counseling for possible complications is of utmost importance.},
DOI = {}
}