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VOLUME 4 , ISSUE 1 ( January-April, 2019 ) > List of Articles

CASE REPORT

Urethral Stricture Reconstruction by Buccal Mucosal Graft Technique

Sandeep K Mehla

Citation Information : Mehla SK. Urethral Stricture Reconstruction by Buccal Mucosal Graft Technique. J Mahatma Gandhi Univ Med Sci Tech 2019; 4 (1):27-28.

DOI: 10.5005/jp-journals-10057-0091

License: CC BY-NC 4.0

Published Online: 15-10-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: A prospective study of 39 cases with stricture urethra who underwent buccal mucosal graft urethroplasty from January 2018 to June 2019 in Department of Urology in Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India. Aim and objective: To establish the outcome of urethral stricture reconstruction by a buccal mucosal graft technique. Materials and methods: The prospective study will be carried out in the Department of Urology, Mahatma Gandhi Medical College and Hospital, Jaipur, for the period of one and half year from January 2018 to June 2019. Inclusion criteria were that all male patients with diagnosis of urethral stricture disease will be included in the study. Exclusion criteria were old fragile medical unfit patients on supra pubic catheter, patient with bleeding dyscrasia, and all females. Results: In our study, we found that balanitis xerotica obliterans (BXO) is the most common cause of stricture urethra. It is the most common from 31 to 40 years. After the procedure, no donor site complications were seen. Medium and long strictures got excellent outcome. Out of 39 grafts, no graft loss is seen till date in follow-up of 3 and 6 months. Conclusion: In our study, we found that dorsal onlay is the preferred form of graft placement. Buccal mucosal graft is the ideal substitute for urethra, especially in medium and long segment urethral stricture. Buccal mucosal graft has good graft properties for graft survival. The donor site had no significant complications. Dorsal onlay graft is the preferred type as it has good support better outcome. Nil failure in respect to graft function urine flow patients satisfaction till date. Longer follow-up is need (keeping attrition over a period of time for substitution urethroplasty in mind before coming to definite conclusion).


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