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- Title
The Long Term Outcome of Graft Urethroplasty by Buccal Mucosa in Penile and Bulbar Stricture.
- Authors
Hadi, Azzawi M.; Abbass, Yassir Ismael; Yadgar, Mazin Anwar
- Abstract
Background Urethral stricture is widely prevalent disease and its management is a challenging surgery. Nosoleideal surgical procedure appropriate inevery situation. The Grafting by Buccal Mucosa (BMGurethroplasty) represents the most appropriate and widely used procedure torepairstricture of urethra. We disclosedtheextended followup thecasesof stricture of urethrathat managed by (BMG urethroplasty) aiming to determine the success rate, recurrence and complications rate. Patients and Method A study was orchestrated to prospectively followup a 39 patients with bulbar and proximal penile urethral stricture disease repaired by BMG urethroplasty. Retrograde urethrography done to confirm the diagnosis, measure the length and locate urethral strictures. Patient demographics, stricture aetiology and anatomy all were recorded. Follow up data in term of success and failure rate, and complication. Results thirty-nine patients (the mean age was 35.4 years) with urethral strictures disease diagnosed by urethrography of more than 3 cm in length (the mean ofstricture length was 5.34cm). 23, 7, and 9 patients had bulbar, penile and long combined (bulbar and penile) strictures respectively. Early peri- and post-operative complications occurred in 35% it was almost minor complications included scrotal swelling, minor hematoma, urinary infections, and urgency. 4 patients only developed re-stricture 2 of them had a failure. The most frequent major complications were a urethrocutaneousfistula. Conclusion Buccal mucosal graft urethroplasty appear to be a rightful and durable treatmentchoice for cases with urethral strictures, moreover it has a fewer major complications.
- Subjects
URETHROPLASTY; URETHRA stricture; MUCOUS membranes; OPERATIVE surgery; DISEASE management; URETHRA
- Publication
Indian Journal of Public Health Research & Development, 2019, Vol 10, Issue 11, p4795
- ISSN
0976-0245
- Publication type
Academic Journal
- DOI
10.5958/0976-5506.2019.03909.3