Buccal mucosal graft urethroplasty for anterior urethral stricture, Experience from a low-income country

Abstract

Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context.Methods: This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019.Results: The total number of involved patients was 60. The success rate was found to be 90% (n= 54), while 6(10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50(83.3%) and 2(3.3%) patients, respectively. late complications occurred as follows 14(23.3%) patients had UTI, 12(20%) had wound infections, 8(13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6(10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG).Conclusion: Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%).