Urology Research & Practice
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

Urol Res Pract 2019; 45: 223-229
DOI: 10.5152/tud.2018.47827
Read: 3443 Downloads: 658 Published: 25 July 2019

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 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 2019; 45(3): 223-9.

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