Lingual Mucosa Graft urethroplasty for anterior urethral stricture – our Experience
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 1
Abstract
Abstract Background & Aims Buccal mucosa graft is now established as tissue of choice for urethral reconstructive procedure. However, common habit of tobacco and betel nuts chewing in our part of the country affects buccal mucosa and often found not suitable for use as graft in urethral reconstruction. Lingual mucosa may be a good alternative since it is usually spared from fibrotic process observed in buccal mucosa. We present our experience of lingual mucosa graft urethroplasty for anterior urethral stricture. Material & Method Thirty four prospectively selected patients with anterior urethral stricture fulfilling selection criteria underwent lingual mucosa graft(LMG) urethroplasty from August 2006 to February, 2012. The mean length of stricture was 4.7 cm(2.0-7.0 cm). Lingual mucosal graft was harvested after assessing the length and breadth of urethral defect using standard operative technique. Patient were followed up with subjective and objective urinary flow rate. Retrograde urethrogram(RGU) and urethroscopy were performed when needed. Result Urethral stricture recurred at proximal or distal end of the graft in 8 patients during the mean follow up of 21.7 months . Success rate was 77.5%. Conclusion Lingual mucosa is a good substitute for urethral reconstruction and should be considered when buccal mucosa is not suitable for its use.
Authors and Affiliations
K. Mahmood, M. Singh, R. K. Tiwari, Vijoy K, R. Upadhyay, A. Ahmad, R. P. Singh
Keywords
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