Buccal mucosa substitution urethroplasty
A modality with excellant results
Keywords:
buccal mucosa, urethroplasty, anterior urethraAbstract
Objective: We present our experience of buccal mucosa substitution urethroplasty in all segments of the Anterior urethra, as the buccal mucosal graft (BMG) is now recognized as the tissue of choice for single-stage reconstruction of bulbar urethral strictures. Patients and methods: Twenty-five patients underwent BMG substitution urethroplasty at our center between January 2015 and January 2019: 18 underwent a single-stage dorsal on lay BMG urethroplasty (pendulous, bulbous), 2 underwent a single-stage ventral onlay BMG urethroplasty (1 pendulous, 1 bulbous), 2 underwent an inlay buccal mucosa grafting (pendulous) followed by tabularization for six months. Results in terms of recurrence, comorbidities, and aesthetics were evaluated. Results: In six months follow-up period, 23 (88%) patients with a one-stage reconstruction remained stricture-free. One patient experienced a recurrence after 3 months and was treated with a one-stage optical urethrotomy, and another patient developed an urethro-cutaneous fistula and was treated with clean, self-intermittent catheterization once a day for 1 month, then twice a week for 3 months. Conclusion: When the anterior urethra is affected by a stricture, a BMG urethroplasty performed in a single stage is highly effective.
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