Dorsal onlay buccal mucosal graft urethroplasty in long anterior urethral stricture

Datta, Biswajit; Rao, M. P.; Acharya, Rajiba L.; Goel, Nidhi; Saxena, Vijay Laxmi; Trivedi, Sameer; Dwivedi, US; Singh, Pushpendra

doi:10.1590/s1677-55382007000200008

Cited by 35 publications

(26 citation statements)

References 31 publications

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“…We have been using BMG for substitution urethroplasty of anterior urethral strictures (especially for strictures associated with lichen sclerosus) for a long time with results comparable to other series [17] . Recently, we have switched over to the LMG substitution urethroplasty.…”

Section: Discussionmentioning

confidence: 66%

Substitution Urethroplasty for Anterior Urethral Strictures: Buccal versus Lingual Mucosal Graft

Kumar

Das²,

Trivedi³

et al. 2010

Urol Int

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Aim: To compare the results of substitution urethroplasty and donor site morbidity between buccal mucosal graft (BMG) and lingual mucosal graft (LMG). Patients and Methods: Patients who underwent single-stage dorsal onlay free oral mucosal graft substitution urethroplasty by Barbagli’s technique between January 2004 and August 2008 were included in this study. Patients who underwent buccal (cheek, lip) mucosal graft urethroplasty were included in group I and those who underwent LMG urethroplasty (tongue) were included in group II. All patients underwent complete evaluation of the stricture including inspection of the oral cavity. Exclusion criteria were stricture length <3 cm and complex strictures which required a multistage procedure. Results: The results of urethroplasty were similar in both groups in terms of blood loss, duration of postoperative hospitalization, complications encountered at urethroplasty site, mean postoperative Q_max and mean postoperative AUA symptom score. Early slurring of speech complications was seen in group II, but not in group I. The long-term complications of persistent oral discomfort, perioral numbness and tightness of the mouth were seen only in group I. Conclusion: LMG urethroplasty is a good substitute for BMG urethroplasty with equally good results of urethroplasty with lower donor site morbidity.

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Section: Discussionmentioning

confidence: 66%

Substitution Urethroplasty for Anterior Urethral Strictures: Buccal versus Lingual Mucosal Graft

Kumar

Das²,

Trivedi³

et al. 2010

Urol Int

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“…Short strictures (≤ 2 cm) are generally managed by primary end--to-end anastomosis. Patients with long strictures are not suitable for end-to-end anastomosis because of the risk of postoperative chordee formation [2]. Substitution urethroplasty should be the choice of treatment for long strictures.…”

Section: Original Papersmentioning

confidence: 99%

Dorsal Onlay Buccal Mucosal Graft Urethroplasty in the Treatment of Urethral Strictures – Does the Stricture Length Affect Success?

et al. 2015

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Background. Treatment of urethral strictures can be challenging, but, with appropriate preoperative evaluation and surgical planning it is possible to achieve successful results. Objectives. To analyze if the stricture length affects the success with dorsal onlay buccal mucosal graft urethroplasty technique. Material and Methods. Between January 2004 and June 2010 a total of 40 patients with anterior urethral stricture were treated with dorsal onlay buccal mucosal graft urethroplasty. Age, etiology of the stricture, stricture length (≤ 7 cm, and > 7 cm), and localization of the stricture were assessed as the factors affecting success rate. Results. The clinical outcome was defined as a failure when any operative instrumentation including dilatation was needed or the urine flow rate was less than 14 mL per second at the sixth month, postoperatively. The mean follow-up period was 43.44 months. Of 40 patients, 28 (70%) were successful and 12 (30%) were a failure. There was no statistically significant difference between the age groups, etiology of the stricture and success rate (p = 0.26 and p = 0.41). The statistical difference was significant for the localization and length of the stricture by means of success (p = 0.002 and p = 0.025). Conclusions. Our results show that the stricture length and localization are the most important variables for desirable success. Even though surgical techniques are constantly evolving, long strictures stay as a problem for urologists. Studies with larger number of patients with long urethral strictures may support our findings, and may prove the efficiency of these surgical techniques (Adv Clin Exp Med 2015, 24, 2, 297-300).

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“…Multiple other authors recommend a staged procedure as the disease process is usually extensive. [16262829]…”

Section: Controversies and Consensusmentioning

confidence: 99%

Buccal mucosa urethroplasty for adult urethral strictures

Zimmerman

Santucci

2011

Indian J Urol

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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. We like buccal mucosa grafts because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use. We utilize it for most our bulbar urethral stricture repairs and some pendulous urethral stricture repairs, usually in conjunction with a first-stage Johanson repair. In this report, we discuss multiple surgical techniques for repair of urethral stricture disease. Diagnosis, evaluation of candidacy, surgical techniques, post-operative care, and complications are included. The goal is to raise awareness of buccal mucosa grafting for the management urethral stricture disease.

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Dorsal onlay buccal mucosal graft urethroplasty in long anterior urethral stricture

Cited by 35 publications

References 31 publications

Substitution Urethroplasty for Anterior Urethral Strictures: Buccal versus Lingual Mucosal Graft

Substitution Urethroplasty for Anterior Urethral Strictures: Buccal versus Lingual Mucosal Graft

Dorsal Onlay Buccal Mucosal Graft Urethroplasty in the Treatment of Urethral Strictures – Does the Stricture Length Affect Success?

Buccal mucosa urethroplasty for adult urethral strictures

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