Buccal mucosal graft in reconstructive urology: Uses beyond urethral stricture

Abstract

Abstract:The use of buccal mucosal grafts for the reconstruction of urethral strictures is an established procedure. Because of its robustness, the buccal mucosal graft could also potentially provide an alternative for other indications in reconstructive urology. We report here six consecutive patients who received a buccal mucosal graft for ureteral strictures, glans reconstruction and stoma stenosis. The follow up for all patients ranged from 26 to 50 months. The buccal mucosal graft showed excellent functional results for the ureteral strictures and stenosis from ureterocutaneostomy. For glans reconstructions, the buccal mucosal grafts delivered excellent cosmetic and functional results without causing meatal stenosis. We conclude the buccal mucosal graft can be used in reconstructive surgery beyond the reconstruction of urethral strictures.

Total proximal ureter substitution using buccal mucosa

“…After review of the literature, segmental ureteral substitution using BMG was first described by Somerville and Naude on animal models . BMG was applied as an on‐lay graft after incising the stricture segment in the ureter in a total of 23 patients available in the literature . All the reported results were promising.…”

“…Yet, in ureteral reconstruction its use is very uncommon. In the literature, BMG was used in a few cases of ureteral stricture as an on‐lay patch after incision of the stricture part of the ureter . To the best of our knowledge, we report on the first case in the literature with a whole circumference ureteral substitution using BMG to treat a long segment ureteral stricture.…”

Management of urethral stricture: High‐pressure balloon dilation versus optical internal urethrotomy

“…Although urethroplasty is efficacious for the treatment of urethral stenosis, it must be performed by an experienced and skilled surgeon . Because of the small number of surgeons experienced in urethroplasty in Japan, optical internal urethrotomy (OIU)and bougie dilation are performed initially.…”

Editorial Comment from Dr Zengin to Total proximal ureter substitution using buccal mucosa

“…Pandey et al . reported three cases of ureteral stricture . The length of the stricture was 6, 7 and 4 cm, respectively.…”