Buccal Mucosal Graft Usage in Anterior Stricture Urethra in Our Institution
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 7
Abstract
Introduction: Urethral strictures are difficult to manage. Some treatment modalities for urethral strictures are fraught with high patient morbidity and stricture recurrence rates; however, an extremely useful tool in the armamentarium of the Reconstructive Urologist is buccal mucosal urethroplasty. Aim: To analyze the outcome of surgical procedure for anterior urethral stricture and to analyze complication associated with buccal mucosal graft and its management. Material and Methods: This prospective study was conducted in patients admitted in Department of Urology, Government Pudukottai Medical College Hospital, with clinical diagnosis of urethral stricture from January 2017. The mean length of stricture was 3.6 cm. Patients with bulbar, penile, or bulbopenile strictures received one-stage dorsal free graft urethroplasties. Results: Mean follow-up was 15 mo. One-stage bulbar and penile urethroplasties without meatal involvement had an 81.8–100% success rate. Bulbo penile urethroplasties were successful in 60% of the cases, whereas one-stage urethral reconstructions in patients with meatal involvement were successful in 66.6%. Conclusion: Buccal mucosa graft for urethral stricture reconstruction yield reproducibly excellent results with minimal morbidity and low complication rates. Longer followup will be required to confirm the durability of our results. Buccal mucosal graft for dorsal onlay or augmentation urethroplasty gives rewarding results in anterior urethral strictures.
Authors and Affiliations
G. Latha
Keywords
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