Volume : VI, Issue : V, May - 2017

OUR EXPERIENCE WITH BUCCAL MUCOSAL GRAFT URETHROPLASTY FOR LONG ANTERIOR URETHRAL STRICTURES.

G. Ramachandraiah, Rahul Devraj, Kranthi K Reddy, Abbas Sj, S. Vidyasagar, Ch. Ram Reddy

Abstract :

 Aims and objectives: The use of Buccal Mucosal Graft (BMG) urethroplasty represents the most widespread method of urethral stricture repair. To evaluate the results of  buccal mucosal graft urethroplasty in treatment of long Anterior urethral strictures. Materials and methods: This was a retrospective study of 102 patients with anterior urethral stricture managed by  buccal mucosal graft urethroplasty at our institute between August 2010 to August 2016. All patients underwent preoperative evaluation in the form of uroflowmetry, RGU and urethroscopy. The graft was harvested from the cheek. The graft was placed either ventrally or dorsally based on procedure opted. Data were analyzed using SPSS 17 version software. Catheter removal was done on 21stpostoperative day. Follow–up consisted of uroflowmetry, PVR . Failure was defined as requirement of any post operative procedure. Results: Mean age of  patients was 44 (18–72 years). Mean stricture length was 6 cms (range 2 to 12 cm) with mean follow up of 34 months (range 12 to 60 months). Out of 102 patients who underwent urethroplasty during the study period 16 patients developed recurrence in which seven patients  presented with stricture recurrence involving the entire grafted area and nine patients were found to develop stricture at anastomotic site. Four of them voided normally after single attempt of OIU. While other patients  required further open surgery or repeat OIU during follow up and were considered as failure. Two patients developed urethrocutaneous fistula treated by additional procedure while none of the cases has wound infection or any long term donor site complication. Conclusion: Longterm follow up of buccal mucosal graft urethroplasty has the promising results with fewer failure rate in our experience. 

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

G. Ramachandraiah, Rahul Devraj, Kranthi K Reddy, Abbas SJ, S. Vidyasagar, Ch.Ram Reddy, OUR EXPERIENCE WITH BUCCAL MUCOSAL GRAFT URETHROPLASTY FOR LONG ANTERIOR URETHRAL STRICTURES., INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | Issue‾5 | May‾2017

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