- UAA Congress 2025

Final Presentation Format

Non-Moderated Poster Abstract

Eposter Presentation

Eposter in PDF Format

Accept format: PDF. The file size should not be more than 5MB

Eposter in Image Format

Accept format: PNG/JPG/WEBP. The file size should not be more than 2MB

Presentation Date / Time

Submission Status

Withdrawn

Abstract

Abstract Title

Single-Stage Panurethroplasty with split-thickness skin grafts harvested from the thigh: Technique Description and 48- Month Follow-Up Results

Presentation Type

Moderated Poster Abstract

Manuscript Type

Clinical Research

Abstract Category *

Functional Urology: Reconstructive Surgery

Author's Information

Number of Authors (including submitting/presenting author) *

10

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
Please ensure the authors are listed in the right order.

Country

Italy

Co-author 1

Greta Basile greta.basile@uniroma1.it Sapienza University of Rome Urology Rome Italy *

Co-author 2

Luca Matteo Gobbi lucamatteo.gobbi@uniroma1.it Sapienza University of Rome Urology Rome Italy -

Co-author 3

Bruno Bucca bruno.bucca@uniroma1.it Sapienza University of Rome Urology Rome Italy -

Co-author 4

Orietta Dalpiaz orietta.dalpiaz@gmail.com 2 Hochsteiermark Hospital Urology Leoben Austria -

Co-author 5

Robin Zeder robin.zeder@kages.at Hochsteiermark Hospital Urology Leoben Austria -

Co-author 6

Anna Magdalena Bernsteiner annamagdalena.bernsteiner@kages.at Hochsteiermark Hospital Urology Leoben Austria -

Co-author 7

Julia Pilhatsch julia.pilhatsch@kages.at Hochsteiermark Hospital, Urology Leoben Austria -

Co-author 8

Thomas Alber thomas.alber@kages.at Hochsteiermark Hospital Urology Leoben Austria -

Co-author 9

Christian Pahljina christian.Pahljina@kages.at Hochsteiermark Hospital Urology Leoben Austria -

Co-author 10

Christian Gozzi christian.gozzi@gmail.com City Clinic Urology Bolzano Italy -

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Co-author 16

Co-author 17

Co-author 18

Co-author 19

Co-author 20

Abstract Content

Introduction

This study evaluates the feasibility and clinical outcomes of single-stage dorsal onlay urethroplasty using split-thickness skin grafts (STSG) harvested from the thigh as a surgical option for panurethroplasty.

Materials and Methods

From July 2019 to November 2023, we treated 10 patients with urethral strictures ≥10 cm at a single center using a single-stage dorsal onlay technique with STSG harvested from the thigh using an electric dermatome. Patients underwent preoperative and postoperative assessments. Follow-up evaluations included uroflowmetry at 1, 6, 24, and 48 months, as well as the IIEF-5 and IPSS-QoL questionnaires at 48 months.

Results

The median patient age was 59 years. The median stricture length was 10 cm. A suprapubic catheter was present in 80% of cases. Urethral strictures were located in 40% of penile and 60% of bulbar-penile regions. The median operative time was 188 minutes (IQR 52.5). The median hospital stay was 5 days (IQR 1.75). The median catheter indwelling time was 21 days. At 1 month postoperatively, the median Qmax was 28.5 mL/s, and PVR was 20 mL. At 6 months, Qmax was 23.5 mL/s, and PVR was 20 mL. At 24 months, Qmax was 22 mL/s, and PVR was 30 mL. At 48 months, Qmax was 20 mL/s, and PVR was 20 mL. At 48 months, the median IIEF-5 score was 23 (IQR 10.75), the IPSS score was 3 (IQR 4.25), and the QoL score was 1 (IQR 1).

Conclusions

The median patient age was 59 years. The median stricture length was 10 cm. A suprapubic catheter was present in 80% of cases. Urethral strictures were located in 40% of penile and 60% of bulbar-penile regions. The median operative time was 188 minutes (IQR 52.5). The median hospital stay was 5 days (IQR 1.75). The median catheter indwelling time was 21 days. At 1 month postoperatively, the median Qmax was 28.5 mL/s, and PVR was 20 mL. At 6 months, Qmax was 23.5 mL/s, and PVR was 20 mL. At 24 months, Qmax was 22 mL/s, and PVR was 30 mL. At 48 months, Qmax was 20 mL/s, and PVR was 20 mL. At 48 months, the median IIEF-5 score was 23 (IQR 10.75), the IPSS score was 3 (IQR 4.25), and the QoL score was 1 (IQR 1).

Keywords

Urethral stricture; autografting; urethroplasty; panurethroplasty; single-stage urethroplasty; skin graft

Figure 1

Figure 1 Caption

Figure 2

Figure 2 Caption

Figure 3

Figure 3 Caption

Figure 4

Figure 4 Caption

Figure 5

Figure 5 Caption

Character Count

1338

Vimeo Link

Presentation Details

Session

Date

Time

Presentation Order

0