Comparative analysis of successful outcome after substitution urethroplasty with “Buccal Mucosa Graft versus Inner Preputial Skin Graft” for anterior urethral stricture disease

2019 ◽  
Vol 18 (1) ◽  
pp. e524
Author(s):  
K. Parmar ◽  
S. Tyagi ◽  
S.K. Singh ◽  
S. Kumar ◽  
U. Mete ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Urethral Stricture ◽  
Skin Graft ◽  
Buccal Mucosa ◽  
Successful Outcome ◽  
Urethral Stricture Disease ◽  
Buccal Mucosa Graft

Lingual versus buccal mucosa graft urethroplasty for anterior urethral stricture: A prospective comparative analysis

2013 ◽  
Vol 20 (12) ◽  
pp. 1199-1203 ◽  
Author(s):  
Adittya K Sharma ◽  
Ratkal Chandrashekar ◽  
Ramaiah Keshavamurthy ◽  
Girish G Nelvigi ◽  
Ananth J Kamath ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Urethral Stricture ◽  
Buccal Mucosa ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosa Graft Urethroplasty

Urethroplasty for treatment of long anterior urethral stricture: buccal mucosa graft versus penile skin graft—does the stricture length matter?

2016 ◽  
Vol 48 (11) ◽  
pp. 1831-1835 ◽  
Author(s):  
Mohamed M. Hussein ◽  
Hazem Almogazy ◽  
Ahmed Mamdouh ◽  
Fawzy Farag ◽  
Elnesr Rashed ◽  
...  
Keyword(s):  
Urethral Stricture ◽  
Skin Graft ◽  
Buccal Mucosa ◽  
Penile Skin ◽  
Buccal Mucosa Graft

scholarly journals Evaluation of the Extent of Primary Buccal Mucosal Graft Contracture in Augmentation Urethroplasty for Stricture Urethra: A Prospective Observational Study at a Tertiary Healthcare Centre

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
A. BhalaguruIyyan ◽  
P. Puvai Murugan ◽  
Chandranaath C. Alakhananda ◽  
B. M. Zeeshan Hameed
Keyword(s):  
Observational Study ◽  
Urethral Stricture ◽  
Buccal Mucosa ◽  
Prospective Observational Study ◽  
Successful Outcome ◽  
Urethral Stricture Disease ◽  
Buccal Mucosal Graft ◽  
Stricture Urethra ◽  
Tertiary Healthcare ◽  
Graft Removal

Introduction. Buccal mucosal graft (BMG) urethroplasty is considered as gold standard in the treatment of urethral stricture disease. The successful outcome after BMG urethroplasty varies between 66 and 99%. One of the possible causes for failure is BMG contracture. Primary BMG contracture rate is poorly understood and unreported. The present study aimed to evaluate the extent of contracture of buccal mucosa immediately after harvesting. Materials and Methods. This was a prospective observational study conducted in the Department of Urology at our institute between January 2016 and December 2019. All patients with urethral stricture disease undergoing BMG urethroplasty for the first time were enrolled in the study after obtaining informed consent. Demographic and patient clinical profile was noted. Based on the intraoperative urethral stricture size, the preharvest graft was marked on the buccal mucosa and the size was calculated. Postharvest unstretched size of the graft was measured immediately after graft removal from the oral cavity. Alteration in BMG size was analysed using paired t-test. Results. Forty-four patients were included in the study. Mean age of the patient was 53.6 years. Mean stricture length was 7.45 cm (range 4–12 cm). Mean pre- and postharvest BMG size was 8.3 × 1.5 cm and 7.6 × 1.3 cm, respectively. There was a 8.4% decrease in length and 9.5% decrease in width of the buccal mucosal graft. Conclusion. Primary buccal mucosal graft contracture is around 8.4% in length and 9.5% in width. It would be better to mark wider than necessary while harvesting buccal mucosa so that tension-free anastomosis is performed.

scholarly journals Buccal mucosa graft urethroplasty in a case of urethral amyloidosis presenting with long anterior urethral stricture

2015 ◽  
Vol 9 (11-12) ◽  
pp. 830 ◽  
Author(s):  
Dmitry Kurbatov ◽  
Sergey Dubskiy ◽  
Alex Lepetukhin ◽  
Borko Stojanovic ◽  
Miroslav L. Djordjevic
Keyword(s):  
Urothelial Carcinoma ◽  
Urethral Stricture ◽  
Buccal Mucosa ◽  
Rare Condition ◽  
Successful Outcome ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosa Graft Urethroplasty

Urethral amyloidosis is a rare condition, but clinically relevant because it can mimic urothelial carcinoma. We report a case of localized urethral amyloidosis presenting with a long anterior urethral stricture. We used extensive grafts of buccal mucosa for standard augmentation urethroplasty, with a successful outcome at the 2-year follow-up.

scholarly journals The use of a buccal graft for urethroplasty of urethral strictures in men

2020 ◽  
Vol 13 (4) ◽  
pp. 120-125
Author(s):  
N.V. Polyakov ◽  
◽  
N.G. Keshishev ◽  
A.D. Trofimchuk ◽  
I.A. Abdulaev ◽  
...  
Keyword(s):  
Urethral Stricture ◽  
Buccal Mucosa ◽  
Proximal Part ◽  
Severe Problem ◽  
Urethral Stricture Disease ◽  
Urethral Strictures ◽  
Buccal Mucosa Graft ◽  
Medical Centers ◽  
Buccal Mucosa Graft Urethroplasty ◽  
Stricture Recurrence

Introduction. The urethroplasty of the urethral stricture disease is still a severe problem for surgeons. The aim of this study is to evaluate own results of buccal mucosa graft urethroplasty (BMGU) for the treatment of urethral stricture. Aim. Evaluation of own results of urethroplasty with a graft of the oral mucosa in the treatment of urethral strictures. Materials and methods. Between 01.08.2014 and 01.06.2020 we treated 136 patients with urethral stricture at our Medical Centers, where we provided buccal mucosa graft urethroplasty for bulbar and penile urethra. Results. The bulbar stricture was found among 105 patients of 136 (77,1 % cases), in which 64 had stricture in proximal part and 41 – in distal part of the urethra, 19 patients – in penile urethra and the other part had panurethral lesion. The median length of the stricture was measured as 3,8 ± 0,6 sm in the first three groups, and in the last group it was 10,4 ± 1,5 sm. At a median follow-up of 16,3 months 87,5% of patients in the first group, 90,2 % in the second, 84,2 % in the third and 83,3 % in the fourth group had no stricture recurrence and were satisfied with BMGU. Conclusion. For patients with urethral stricture disease, BMGU offers excellent success, morbidity with different techniques and methods, which statistically are equal to each other.

scholarly journals Dorsal onlay buccal mucosal graft or penile skin graft substitution urethroplasty in bulbar urethral stricture: compare the outcome and review

2020 ◽  
Vol 7 (3) ◽  
pp. 664
Author(s):  
Atul K. Khandelwal
Keyword(s):  
Success Rate ◽  
Urethral Stricture ◽  
Skin Graft ◽  
Buccal Mucosa ◽  
Penile Skin ◽  
Buccal Mucosa Graft ◽  
Buccal Mucosal Graft ◽  
Study Results ◽  
Dorsal Onlay

Background: Authors describe their experience with dorsal onlay urethroplasty using Buccal mucosal graft or penile skin graft through dorsal sagittal urethrotomy for bulbar urethral stricture.Methods: From 2014 to 2017, 29 male patients with bulbar urethral stricture have been treated by one stage dorsal onlay substitution urethroplasty using buccal mucosal graft and penile skin graft. Patients with balanitis xerotica obliterans, unhealthy penile skin, oral mucosa pathology or those who had undergone more than one urethral dilation/internal urethrotomy or urethroplasty were excluded from study. Results were analyzed at 6th and 12th month follow up with clinical history and uroflowmetry. Clinical outcome was considered a failure when any postoperative instrumentation was needed, including dilation or optical internal urethrotomy.Results: A total of 16 men age between 21 to 56 years for buccal mucosa graft (BMG) urethroplasty and 13 men age between 18 to 59 years underwent dorsal onlay substitution urethroplasty using BMG and penile skin graft (PSG). Mean stricture length was 4.2 cm (3.8-6) for BMG urethroplasty and 4.1 cm (3.2-5) for PSG urethroplasty. Mean length and width of graft were 4.2 cm and 2.6 cm respectively in BMG urethroplasty while 4.6 cm and 2.5 cm in PSAG urethroplasty. Average follow up months were 13.4 months with overall success rate 87.5% in BMG urethroplasty while average follow up months were 14.6 months with overall success rate 82.3% in PSG urethroplasty.Conclusions: On short term follow up substitution urethroplasty using both penile skin and buccal mucosa graft have comparable results.  

Sign in / Sign up

Export Citation Format

Share Document