Urethral Stricture Clinical Trial
Official title:
An Open Prospective Clinical Study on Safety and Efficacy of Surgical Treatment of Patients With Anterior Urethral Stricture Using a Tissue-engineered Construct Based on Autologous Buccal Mucosa Cells and Matrix From Reconstituted Collagen and Reinforcing Polylactoglycolide Fibers
This study investigates safety and efficacy of surgical treatment of patients with anterior urethral stricture using a tissue-engineered construct based on autologous buccal mucosa cells and matrix from reconstituted collagen and reinforcing polylactoglycolide fibers. This is a single arm study with no control. Success will be assessed via objective and subjective methods; complications will be tallied in a standardized fashion. Outcomes will be measured at five years.
Treatment of urethral strictures longer than 2 cm is an actual clinical challenge. In this
case, the common method is replacement surgery using a buccal mucosa graft. However, the main
disadvantage of this method is associated with limited donor resources and donor site
morbidity.
The aim of this study is to assess safety and efficacy of surgical treatment of patients with
anterior urethral stricture using a tissue-engineered construct. The construct consists of
autologous buccal mucosa cells and matrix from reconstituted collagen and reinforcing
polylactoglycolide fibers. Patients will be followed up for 5 years within this study. The
follow-up regimen includes retrograde and pericatheter urethrography, voiding
cystourethrography, uroflowmetry, biopsy, and quality of life monitoring. Telephone follow-up
will take place in between these assessments.
The data obtained from this study will have practical implications for the urethral stricture
treatment and will be based on the principles of evidence-based medicine.
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