IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-4-18678 Original Research Paper A STUDY OF OUTCOMES OF BMG URETHROPLASTY IN LICHEN SCLEROSIS Amarapilli Appalaraju Dr. Dr. Vanajakshi.Jami Dr. April 2019 8 4 01 02 ABSTRACT

Aim: To evaluate the outcomes from, single institution series of patients with lichen sclerosis (LS) who underwent BMG Urethroplasty. Materials and Methods: We retrospectively reviewed 35 patients who underwent surgical management of their LS urethral strictures from 2016 to 2018, comparing outcomes of patients of bulbar and pan urethral strcture undergoing a single–stage buccal mucosa graft (BMG) urethroplasty. Demographic and surgical outcomes data were collected for all patients. Results: Of the 35 patients, the mean follow–up was 15 months (6 to 24), mean age was 43 years(21–75),. The mean stricture length was 4.63 cm (2 to 8cm), with 62.85% (22) of patients having a bulbar stricture. All the patients with bulbar stricture were planned for a single–stage BMG urethroplasty, recurrence found 13.63% (3). Single–stage BMG urethroplasty was also performed in 37.15% (13) patients with pan urethral stricture, a mean stricture length of 17.85 cm (15–21 cm), recurrence found in 30.76% (4) cases. Conclusion: Management of LS strictures continues to pose challenges to the reconstructive surgeon due to the high rate of stricture recurrence and often progression. Patients undergoing single–stage often require revision and must be carefully observed for recurrent urethral stricture.