Dorsal Onlay Oral Mucosa Graft Urethroplasty: A Case Report and Review of Literature

Abstract

The use of buccal mucosa grafts in urethral reconstruction for complex anterior urethral strictures has gained popularity over the years with very good outcomes reported in literature. We report on the successful repair of a complex anterior urethral stricture in a 14-year-old boy following catheterization using this method at the Komfo Anokye Teaching Hospital. The aim is to describe the method of dorsal onlay oral mucosa graft urethroplasty and to review the literature.

Recurrent urethral stricture with dual lumen managed by a single stage dorsal Onlay buccal mucosal graft Urethroplasty: a case report

“…Refractory urethral strictures to initial management present surgical challenges to the reconstructive surgeon because it is considered a complex stricture that requires tissue transfer or staged urethroplasty [ 6 , 7 ]. It has been reported in the literature that BMGs in complex anterior urethral strictures have lately become a well-established management modality for bulbar and penile urethral strictures compared with penile fasciocutaneous flap and scrotal skin [ 6 ]. Especially for those who are not suitable for anastomosis or excision [ 6 ].…”

“…It has been reported in the literature that BMGs in complex anterior urethral strictures have lately become a well-established management modality for bulbar and penile urethral strictures compared with penile fasciocutaneous flap and scrotal skin [ 6 ]. Especially for those who are not suitable for anastomosis or excision [ 6 ]. Furthermore, the BMG has an advantage over other tissues as it resembles urethral mucosa and is easily harvested [ 7 ].…”