Single-stage repair of obliterated anterior urethral strictures using buccal mucosa graft and dorsal penile skin flap

2018 ◽  
Vol 26 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Vladimir Kojovic ◽  
Miroslav L Djordjevic ◽  
Aleksandar Vuksanovic
Keyword(s):  
Buccal Mucosa ◽  
Skin Flap ◽  
Single Stage ◽  
Penile Skin ◽  
Urethral Strictures ◽  
Buccal Mucosa Graft

scholarly journals Outcome of buccal mucosa urethroplasty in the management of urethral strictures

2017 ◽  
Vol 89 (2) ◽  
pp. 139 ◽  
Author(s):  
Basri Cakiroglu ◽  
Orhun Sinanoglu ◽  
Ersan Arda
Keyword(s):  
Success Rate ◽  
Buccal Mucosa ◽  
High Volume ◽  
Single Stage ◽  
Fistula Formation ◽  
Internal Urethrotomy ◽  
Voiding Difficulty ◽  
Urethral Strictures ◽  
Buccal Mucosa Graft

Objective: The objective of the study is to report the outcome of buccal mucosal urethroplasty. Materials and methods: The follow up data of 15 patients undergoing single stage urethroplasty from September 2010 to September 2015 were retropectively reviewed. They received buccal mucosa graft for urethroplasty. The patients were followed for complications and outcome. Results: Mean age was 53.7 ± 13.6 The stricture length ranged from 3 to 6 cm (mean 4.4 ± 0.8). The success rate for buccal mucosa urethroplasty (BMU) was 67.7% at 12th month. Three patients presenting with voiding difficulty in the 3rd month and one in the next 12 months, had urethral restenosis. One patient had fistula formation at 6th month postoperatively. Five patients underwent retreatment procedures such as internal urethrotomy, urethroplasty and/or internal urethrotomy. Conclusions: The buccal mucosa is easy to obtain and handle, therefore BMU can be safely and effectively managed outside high volume institutions.

200 SINGLE-STAGE TREATMENT OF DISTAL URETHRAL STRICTURES DUE TO BALANITIS XEROTICA OBLITERANS WITH CIRCULAR BUCCAL MUCOSA GRAFT

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Sinasi Yavuz Onol ◽  
Fikret Onol ◽  
Abdulmuttalip Simsek ◽  
Ramazan Topaktas ◽  
Mehmet Remzi Erdem
Keyword(s):  
Buccal Mucosa ◽  
Single Stage ◽  
Balanitis Xerotica Obliterans ◽  
Urethral Strictures ◽  
Buccal Mucosa Graft

scholarly journals Single stage repair with buccal mucosal graft in hypospadias cripple patients

2018 ◽  
Vol 5 (10) ◽  
pp. 3239
Author(s):  
Mohit Jain ◽  
Shivam Madeshiya ◽  
Neeraj Sharma
Keyword(s):  
Buccal Mucosa ◽  
Primary Repair ◽  
Donor Site ◽  
Ventral Surface ◽  
Single Stage ◽  
Stricture Formation ◽  
Penile Skin ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosal Graft ◽  
Dorsal Onlay

Background: Hypospadias surgery has developed into a well-defined art and science. Surgeons dealing with this anomaly should have detailed understanding of various basic surgical principles and experience with delicate, precise optically assisted techniques and maintain a clinical workload that is sufficient to obtain consistently good results. Objective of this study was to evaluate the outcome of using buccal mucosal graft for single stage repair in adult hypospadias cripples.Methods: All patients with prior failed hypospadias repair after multiple surgeries presenting in MLN Medical College, Allahabad were included in study. Dorsal onlay buccal mucosa graft with parallel turn over flap from penile skin for ventral surface method was used.Results: Total 20 patients were included in study. Among these 12 patients presented with complete dehiscence of repair, 5 patients presented with multiple urethrocutaneous fistulas, 3 patients presented with extensive stricture formation. Same surgeon performed procedure of dorsal onlay buccal mucosa graft urethroplasty to reduce the bias. Success rate of dorsal onlay substitution free buccal mucosal graft urethroplasty in single stage is affected by scarring of surrounding penile skin. Most common complication related to donor site are transient pain and swelling and to graft site are stricture and fistulas.Conclusions: Single stage repair with buccal mucosal graft in hypospadias cripple patients is an excellent free graft urethroplasty in cases with prior failed primary repair of hypospadias, in whom the preputial skin was lacking or insufficient and a longer urethral tube needed to be constructed.

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