Oral Mucosa Graft: An Ideal Substitute for Urethroplasty

Ragab, Maged; Haroun, Hossam

doi:10.5772/23506

Cited by 2 publications

(2 citation statements)

References 46 publications

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“…Later the under surface of the tongue has been included as potential donor site by few surgeons [25][26][27][28]. During harvest from inner cheek care should be taken not to make injury to Stensen duct and during harvest from lip surgeon should be away from the angle of mouth to avoid permanent deformity [29]. In the present series for long graft harvest incision was extended from the cheek on to the lower lip.…”

Section: Resultsmentioning

confidence: 99%

Outcome of One Stage Urethroplasty Using Buccal Mucosa for Long Segment Urethral Stricture

Islam

Choudhury

et al. 2020

Bang J Urology

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Objective: To assess the outcome of one stage urethroplasty using buccal mucosa for long segment (>2cm) urethral stricture. Material & Method: This retrospective study was done in a private Hospital at Jessore from May, 2010 to October, 2012. Twenty nine patients were managed with one stage dorsal on lay buccal mucosal graft (BMG). Patients were followed up 3 monthly with history, physical examination and relevant investigations. The mean duration of follow up was 23 months. Result: The age of the patients ranged from18 years to 65 years with mean of 35years. The length of the stricture ranged from 2.5cm to 10 cm with mean length 5.5 cm. The mean duration operative period was 3.5 hours with range from 2 hours to 4.5 hours. Of the 29 patients, 15 patients (51.7%) had bulbar urethral stricture, 10 patients (34.5%) had penile urethral stricture and 4 patients (13.8) had pan urethralstricture. Success was defined as normal voiding without further procedure. The rate of recurrence noted in this study was 10.34%. Conclusion: One stage dorsal on lay BMG urethroplsaty is a reliable and satisfactory procedure for the management of long segment urethral stricture with minimum complication. Bangladesh Journal of Urology, Vol. 18, No. 2, July 2015 p.68-73

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Section: Resultsmentioning

confidence: 99%

Outcome of One Stage Urethroplasty Using Buccal Mucosa for Long Segment Urethral Stricture

Islam

Choudhury

et al. 2020

Bang J Urology

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“…The strip of buccolabial mucosa graft was harvested from the oral cavity taking following points in considerations: (a) posterior limit did not exceed the tragus, (b) superior limit did not exceed the opening of Stensen's duct, (c) in the gingivobuccal sulcus at least 3 mm of mucosa is left intact, and (d) angle of mouth was not encroached at all. [ 7 ]…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

Bracka Urethroplasty with Buccal Mucosa Graft: Ergonomic Management of Penile Skin Dartos in the First Stage to Facilitate Second-stage Neourethral Coverage

Shandilya

Kureel

Gupta

et al. 2021

J Indian Assoc Pediatr Surg

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Aims: The aim of the study was to report a new technique of ergonomic penile skin-dartos management during buccal mucosa graft (BMG) to provide adequate penile skin-dartos for neourethral coverage at the time of second-stage tubularization. Materials and Methods: Ten proximal hypospadias with severe chordee underwent first-stage surgery with a new technique. An incision along the urethral plate margin and preputial edge was used to split inner prepuce off preputial dartos and penile degloving leaving inner prepuce attached to corona. Urethral plate was divided into the subfascial plane. Penile dartos was bisected in the dorsal midline. Distal half of penile skin-dartos bifurcated and joined to inner preputial edges. Mobilized and lateralized penile skin-dartos was sutured flanking edges of BMG. The second-stage tubularization after 6 months provided neourethral double dartos coverage with eccentric suture lines. Results: Adequate dartos for neourethral coverage during second-stage tubularization was available in all. Subcoronal urethrocutaneous fistula occurred in one that was repaired. Conclusions: Ergonomic management of inner-preputial skin and ventral transfer of penile skin-dartos helps in providing neourethral coverage during subsequent second-stage tubularization to minimize the occurrence of complications.

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Oral Mucosa Graft: An Ideal Substitute for Urethroplasty

Cited by 2 publications

References 46 publications

Outcome of One Stage Urethroplasty Using Buccal Mucosa for Long Segment Urethral Stricture

Outcome of One Stage Urethroplasty Using Buccal Mucosa for Long Segment Urethral Stricture

Bracka Urethroplasty with Buccal Mucosa Graft: Ergonomic Management of Penile Skin Dartos in the First Stage to Facilitate Second-stage Neourethral Coverage

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