Архивы Декабрь 2017

History and evolution of the use of oral mucosa for urethral reconstruction/ Історія та еволюція застосування слизової рота для уретральної реконструкції

The first surgeon to use oral mucosa as urethral replacement was Kirill Sapezhko, a surgeon from Ukraine [3,4]. Kirill M. Sapezhko (1857-1928), before beginning to use oral mucosa in his patients, performed experimental studies on animals and described five sequential phases relating to changes in the transplanted oral mucosa: imbibition, inosculation, mucosa dimness, graft cleansing, and complete engraftment [4]. Sapezhko performed the first two-stage urethroplasty using lip mucosa as early as 1890. In the second case, in 1891, he performed a onestage tubularized lip mucosa graft. The third case in 1893 consisted of a one-stage tubed urethroplasty for traumatic stricture and a fourth case was later carried out [4]. In 1902, the surgeon Thyrmos, who lived in Odessa and was a Kirill Sapezhko fellow and followed his technique using oral mucosa for urethroplasty, described a successful urethroplasty using oral mucosa [4].
These pioneering experiences coming from Eastern countries were not popularized and were kept out of the Western scientific community and literature until 2002 [3].

[3] Schultheiss D, Gabouev AI, Korneyev I. Letters to the editors. J Urol 2002;168:202-3.
[4] Korneyev I, Ilyin D, Schultheiss D, Chapple C. The first oral mucosal graft urethroplasty was carried out in the 19th century: the pioneering experience of Kirill Sapezhko (1857-1928). Eur Urol 2012;62:624-7.

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