Lingual mucosal graft substitution urethroplasty for anterior urethral strictures: our technique of graft harvesting

Abstract

Lingual mucosal graft harvesting is a simple procedure, provides lengthy graft and is associated with minimal donor site complications.

Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity

“…Oral pain after LMG harvesting was reported by 33% and 0% of patients after respectively 3 days and 6 days in a study of Kumar In general, our results on oral morbidity after BMG harvesting are in line with previous reports [4][5][6]16 (Table 5). Oral morbidity after LMG harvesting is similar compared to the morbidity reported by Xu et al 15 and Sharma et al 14 , but is more frequent and severe compared to other series [8][9][10][18][19][20] (Table 5 and 6). We hypothesize that our prospective registration in a standardized fashion (which was also done by Xu et al 15 and Sharma et al 14 ) accounts for the higher incidence of early and late oral morbidity.…”

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

“…LMG harvesting is done from the lateral aspect of the tongue with the help of a mouth opener [4] . A traction suture is placed at the tip of the tongue to pull it out of the mouth and expose it to the operative field.…”

Oral Mucosa Graft: An Ideal Substitute for Urethroplasty

“…(27) Since then a number of groups have investigated the feasibility of lingual mucosa graft urethroplasty (16, 17, 21-23, 25, 26, 29, 30, 36, 47) whether experimentally (17,21) or clinically, (16,22,23,25,26,29,30,36,47) alone or with buccal mucosa, (16,17) and with different urethroplasty techniques. (23,26,47) Barbagli et al (25) later described their early experience using LMG for urethral reconstruction in 10 patients with anterior urethral strictures. The length of urethral strictures was 2-6 cm and the length of the lingual grafts was 4-6 cm (mean, 4.5 cm) with a width of 2.5 cm.…”

“…3) Recently, Kumar et al (26) reported harvesting a long (16.4 cm) and narrow (1-1.5 cm) lingual graft from the entire lateral mucosal lining of the tongue. (26) In contrast to buccal mucosa the donor site must be closed with 4-0 polyglactin sutures at the end of the harvesting technique. (29) (Fig.…”

“…The junction between the graft and the normal urethra was discernible by its gross appearance, and the LMGs were tightly incorporated into the urethral walls. (21) Since then, numerous reports for the use of the lingual mucosa for urethroplasty were published in the last 5 years (16,(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)) emphasizing Simonato's conclusion that the mucosa of the tongue is a safe and effective graft material in the armamentarium for urethral reconstruction with potential minor risks of donor site complications. (27) …”