OUTCOME ANALYSIS OF BUCCAL MUCOSA URETHROPLASTY IN A TERTIARY CARE CENTRE
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 1
Abstract
Introduction: Urethral strictures are difficult to cure. Treatment options include simple dilation, optical internal urethrotomy, and a variety of urethral reconstructive techniques such as substitution urethroplasty. There was resurgence of buccal mucosa grafts (BMG) in urethroplasty in the late 1980s. Standard bulbar urethroplasties using BMG have a reported lifetime success rate approaching 92%. We conducted a study to evaluate the success rate of buccal mucosa urethroplasty in our institute. Methods and Materials: 35 patients who underwent buccal mucosa urethroplasty were included in the study. During the follow up period re-assessment was done at 6 weeks, 6 months and 1 year, which included the IPSS scoring system and uroflowmetry . Results: The success rate in our study was 71.4% at 12 months. In our study the perineal complications included wound infection in 3(8.6%) cases, UTI in 3 cases (8.6%) and hematoma formation (2.9%) in 1 case. Graft site complications of the oral cavity included oral numbness in 20(57.1%) patients, oral pain in 15(42.9%) patients and restricted mouth opening in 8(22.9%) patients. A strong correlation was seen between the mean maximum flow rate, IPSS score and failure of procedure. Conclusion: Buccal mucosa graft urethroplasty (BMGU) is a well tolerated and worthwhile procedure by patient's point of view. The change in flow rate (Qmax) and IPSS score after urethroplasty may be promising noninvasive tests to screen for stricture recurrence.
Authors and Affiliations
Dr. Rohit Kumar Agarwal, Dr Shahnawaz Rasool, Dr Adarsh Ramappa, Dr Vikram Shah Batra, Dr Sachin Kathuria
Keywords
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