THE ROLE OF ENDOSCOPIC SUBMUCOSAL DISSECTION IN THE HARVEST OF RECTAL MUCOSAL GRAFTS FOR URETHRAL RECONSTRUCTION
Ilker Ozgur1, Hadley M. Wood2, João Pedro Emrich Accioly2, Emre Gorgun*1
1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH; 2Cleveland Clinic Glickman Urological and Kidney Institute, Cleveland, OH
Buccal mucosal graft use in urethroplasty (UP) has led to improved outcomes, yet with limitations. Colonic and rectal grafts are rising in popularity as an alternative. ESD may render rectal grafts and improve organ preservation. A 51-year-old male with previous lichen sclerosis and urethral strictures was submitted to graft harvesting via ESD followed by UP. Dissection began above the dentate line, advancing cephalad, with introduction of a DiLumen™ Grasper to enhance traction. Once reconfigured, the graft was used for UP. The patient tolerated the procedure well, with an uneventful hospital stay. ESD may be an alternative to colonic resection for rectal mucosa harvesting as a graft.
Back to 2022 Abstracts