Yonsei Med J.  1989 Jun;30(2):198-200. 10.3349/ymj.1989.30.2.198.

A case of urethral replacement with polytetrafluoro-ethylene graft for multiple anterior urethral strictures

• Choi HK
• Chang SK

• KMID: 693182
• DOI: http://doi.org/10.3349/ymj.1989.30.2.198

Abstract

Recently, the authors had an opportunity to treat a 73-year-old male patient who was transferred to our institution with problematic multiple strictures of the anterior urethra subsequent to a suprapubic cystostomy. A proximal urethra was reconstructed with scrotal skin, but due to the shortage of distal skin, as a last resort we reconstructed a distal urethra using a polytetrafluoroethylene graft in place of 10 cm long urethral strictures. About 5 months after surgery, we had to reexplore the polytetrafluoroethylene graft area because of pain and found, much to our surprise, that the urethra had been completely regenerated around the length of polytetrafluoroethylene graft which now remained freely detached in the urethral canal. Following removal of the polytetrafluoroethylene graft, the patient could urinate normally and was subsequently discharged without further problems. We concluded that this case was incidentally successful with good regeneration of urethral mucosa of the anterior urethra by grafting a polytetrafluoroethylene tube.

Keyword

Polytetrafluorethylene graft; multiple urethral strictures

MeSH Terms

Aged
Case Report
Human
Male
Polytetrafluoroethylene
*Prostheses and Implants
Regeneration
Urethra/physiopathology
Urethral Stricture/physiopathology/*surgery