ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty
1 Clinic of Urology, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey  
Turk J Urol ; : -
DOI: 10.5152/tud.2018.47827
Key Words: Buccal mucosa; dorsolateral onlay; urethral stricture; urethroplasty
Abstract

 

Objective: Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty in patients with a long- segment urethral strictures.

 

Material and methods: Twenty male patients who underwent urethroplasty in our clinic between November 2015 and January 2017 were evaluated. The outcomes of single-stage dorsolateral buccal mucosal augmentation urethroplasty were retrospectively evaluated. Patients were followed-up at 2nd-3rd weeks, 3rd and 6th months after the operation.

 

Results: Mean age of the patients was 59.45±13.6 years. Mean length of the strictures was 4.59±1.99 cm (3-11 cm) and mean length of buccal mucosal graft (BMG) was 6.8±1.98 cm (5-13 cm). Mean duration of operation was 149.25±47.39 minutes (95-270 min) and mean blood loss was calculated as 165.5±63.05 mL (75-280 mL). The success rate of dorsolateral buccal mucosal augmentation urethroplasty was calculated as 85% after a mean follow-up of 7.38±2.6 months. There were no perioperative or postoperative complications in the urethroplasty region or the mouth except one patient. Three patients who were found to have a decline in the maximum voiding rate in the postoperative 3rd month were included in the dilation program.

 

Conclusion: Single-stage dorsolateral buccal mucosal augmentation urethroplasty is a surgical option to be used in the treatment of long segment urethral strictures with high success and low complication rates in experienced hands.

 

Cite this article as: Şimşek A, Yenice MG, Şeker KG, Arıkan Y, Çolakoğlu Y, Şam E, et al. Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty. Turk J Urol 2017; 44: DOI: 10.5152/tud.2018.47827.

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AVES | Copyright © 2018 Turkish Association of Urology | Latest Update: 08.10.2018