Buccal mucosal graft urethroplasty for anterior urethral stricture, experience from a low-income country

Abstract

Background/purpose This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context. Methods This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019. Results The total number of involved patients was 60. The success rate was found to be 90% (n = 54), while 6 (10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50 (83.3%) and 2 (3.3%) patients, respectively. late complications occurred as follows 14 (23.3%) patients had UTI, 12 (20%) had wound infections, 8 (13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6 (10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%).

Acellular Tissue Engineered Pericardial Patch Urethroplasty: A New Horizon of Substitution Urethroplasty

“…In comparison to buccal mucosal graft urethroplasty, substitution urethroplasty with ATEPP also shows good results. In a study by Sami Mahjoub Taha Awad et al 20 ( Table 4 ), their success rate with buccal mucosal graft urethroplasty was 90% with a 10% re-stricture rate. In our study success rate with ATEPP urethroplasty was 82% with an 18% failure rate.…”

Recurrent urethral stricture with dual lumen managed by a single stage dorsal Onlay buccal mucosal graft Urethroplasty: a case report

“…Refractory urethral strictures to initial management present surgical challenges to the reconstructive surgeon because it is considered a complex stricture that requires tissue transfer or staged urethroplasty [ 6 , 7 ]. It has been reported in the literature that BMGs in complex anterior urethral strictures have lately become a well-established management modality for bulbar and penile urethral strictures compared with penile fasciocutaneous flap and scrotal skin [ 6 ].…”

“…Especially for those who are not suitable for anastomosis or excision [ 6 ]. Furthermore, the BMG has an advantage over other tissues as it resembles urethral mucosa and is easily harvested [ 7 ]. In addition, it has been found that repeating endoscopic management such as dilatation and DVIU is not beneficial in a complex resistant stricture [ 7 ].…”

Revisión integrativa sobre evidencia actual de la uretroplastia

“…Awad et al 6 , en un estudio prospectivo con 60 pacientes, en un periodo de dos años, evaluaron los resultados del uso de injertos de mucosa oral (BMG) para el manejo de la EU anterior, con un éxito del 90% (aunque no describieron cómo lo definieron), y una recurrencia del 10%, encontraron que las complicaciones más frecuentes eran la infección del tracto urinario y infección de sitio operatorio (ISO).…”