Single stage substitution urethroplasty using buccal mucosa graft in management of stricture urethra

Abstract

Buccal mucosa graft and the Berbaglis technique are recent development in treatment of urethral stricture. We report results of 14 patients who were managed by single stage substitution urethroplasty using buccal mucosa graft. Patients and Methods: From July 2002 to June 2004, 14 patients of mean age 27.02yrs (range 20 to 54) underwent dorsal onlay graft urethroplasty (Simple onlay in 12 patients and augmented type in 2 patients). All patients were evaluated preoperatively and postoperatively with uroflowmetry, retrograde and voiding urethrogram. Results: Overall success rate was 85.71% and only 2 patients had restricture. Out of 14 patients 3 patients had leak at repair site which was managed conservatively. Conclusion: Dorsal onlay graft urethroplasty is a versatile technique. The intrinsic properties of buccal mucosa also make it a better substitute for urethroplasty