Transurethral ventral inlay buccal mucosa graft urethroplasty: technique and intermediate outcomes
Sterling J, Daneshvar M, Nikolavsky D. Transurethral ventral inlay buccal mucosa graft urethroplasty: technique and intermediate outcomes. BJU International 2023, 132: 109-111. PMID: 36919248, DOI: 10.1111/bju.16007.Peer-Reviewed Original ResearchConceptsUrine flow rateVoid residualsExcellent intermediate-term outcomesInternational Prostate Symptom ScorePolydioxanone sutureDistal urethral stricturesMedian surgical timeIntermediate-term outcomesProstate Symptom ScoreSexual function scoresSingle-institution reviewBuccal mucosal graftPatient reported outcomesStep surgical techniqueMonths 95Urethroplasty successVentral urethrotomyVoid trialMean followPatient questionnaireProximal extentStricture recurrenceSymptom scoresTerm outcomesFossa navicularisEvaluation of the Effect of Tobacco Use on Buccal Mucosa Graft Histology
Policastro C, Sterling J, Porter B, Zaccarini DJ, Li G, Bratslavsky G, Nikolavsky D. Evaluation of the Effect of Tobacco Use on Buccal Mucosa Graft Histology. Urology 2022, 166: 264-270. PMID: 35469807, DOI: 10.1016/j.urology.2022.03.038.Peer-Reviewed Original ResearchConceptsTobacco useFormer usersBuccal mucosaBuccal mucosa graft urethroplastyCurrent usersGreater collagen densityOral mucosal tissuesCurrent tobacco usersPre-operative workupRegenerative mechanismsEpithelial stem cell markersBlinded histologic analysisStem cell markersGraft histologyControl patientsSmoking statusSingle pathologistStudy cohortGraft urethroplastyImmunohistochemical evaluationHistologic changesTobacco usersChi-square analysisIHC analysisSurgical casesLong-term outcomes from a multi-institutional experience with prefabricated composite gracilis-buccal mucosal flap for reconstruction of devastated urethras
Sterling J, Schardein J, Joshi PM, Kulkarni SB, Nikolavsky D. Long-term outcomes from a multi-institutional experience with prefabricated composite gracilis-buccal mucosal flap for reconstruction of devastated urethras. International Urology And Nephrology 2022, 54: 1047-1052. PMID: 35247151, DOI: 10.1007/s11255-022-03154-z.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresGlobal response assessmentBuccal mucosal graftOutcome measuresMulti-institutional retrospective reviewSecondary outcome measuresPrimary outcome measureLong-term outcomesMulti-institutional experiencePost-operative surveyStage 2 repairStage 1Mean IPSSMean PVRStricture lengthCase seriesResultsFive patientsRetrospective reviewStricture recurrenceSuprapubic tubeSurgical optionsBulbar urethraMean ageMucosal graftPerineal urethrostomy