Ventral onlay buccal mucosa urethroplasty: A 10-year experience

被引:17
作者
Mellon, Matthew J. [1 ]
Bihrle, Richard [1 ]
机构
[1] Indiana Univ Sch Med, Dept Urol, Indianapolis, IN 46202 USA
关键词
buccal mucosa; surgical outcomes; urethra; urethral stricture; urethroplasty; BULBAR URETHRAL STRICTURES; GRAFT URETHROPLASTY; LONG; REPAIR; RECONSTRUCTION; DORSAL;
D O I
10.1111/iju.12236
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: To report our experience, and to evaluate the long-term outcomes and complication profiles of ventral onlay buccal mucosal graft urethroplasty (BMU) after prior urological intervention. Methods: We retrospectively reviewed 114 consecutive patients between February 2001 and April 2009 who underwent buccal mucosal graft urethroplasty for recurrent anterior urethral stricture disease. Seven patients were excluded for incomplete data. The remaining 107 patients comprised the study cohort. The mean follow-up time was 39.3 months (range 6.6-127.3 months). All patients had prior urological attempts at operative management. Results: The mean stricture length was 3.14 cm (range 1.0-8.0 cm). Indications for buccal mucosal graft urethroplasty included: lichen sclerosis (2.8%), iatrogenic (24.3%), infection (4.7%) and perineal trauma/straddle injury (20.6%). Of these patients, 78 had bulbo-membranous stricture disease, 20 had penile involvement and nine were multifocal strictures. The average number of prior urological procedures was 2.83 (range 1-9). The overall graft failure rate was 6.5%. Importantly, the re-operation rate was 20.6%, primarily for stricture recurrence (18), meatal stenosis (3) and urethral diverticulum. The mean time to complication was 10.8 months. Conclusions: Ventral onlay buccal mucosal graft urethroplasty offers satisfactory results in the setting of recurrent and complicated urethral stricture disease. Graft failures and complications generally occur within the first year after surgery. Bulbar strictures enjoy greater graft patency and lower complication rates than other stricture locations. In particular, guarded expectations should be given for stricture length > 4 cm and multifocal disease.
引用
收藏
页码:190 / 193
页数:4
相关论文
共 50 条
  • [31] Bilateral Buccal Mucosa Graft for Urethroplasty: A Versatile Graft
    Fauzi, Fattirah Auni
    Abdullah, Mohd Faizal
    Rahman, Shaifulizan Abdul
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (02)
  • [32] Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience
    Higgins, Margaret M.
    Wengryn, Derek
    Koslov, David
    Oliver, Janine
    Flynn, Brian J.
    INTERNATIONAL UROLOGY AND NEPHROLOGY, 2023, 55 (05) : 1149 - 1154
  • [33] Dorsal versus ventral onlay buccal mucosal graft urethroplasty for long-segment bulbar urethral stricture: A prospective randomized study
    Vasudeva, Pawan
    Nanda, Biswajit
    Kumar, Anup
    Kumar, Niraj
    Singh, Harbinder
    Kumar, Rohit
    INTERNATIONAL JOURNAL OF UROLOGY, 2015, 22 (10) : 967 - 971
  • [34] Female urethroplasty with dorsal onlay buccal mucosal graft: a single institution experience
    Margaret M. Higgins
    Derek Wengryn
    David Koslov
    Janine Oliver
    Brian J. Flynn
    International Urology and Nephrology, 2023, 55 : 1149 - 1154
  • [35] Dorsal onlay buccal mucosa graft (BMG) urethroplasty in female urethral stricture: a video presentation
    Kusuma, A. W.
    Hendri, A. Z.
    INTERNATIONAL JOURNAL OF UROLOGY, 2019, 26 : 106 - 106
  • [36] Dorsolateral onlay buccal mucosal urethroplasty for anterior urethral strictures by unilateral urethral mobilization: A prospective study
    Murugan, P. Puvai
    Iyyan, A. Bhalaguru
    Selvathangam, Akash
    UROLOGICAL SCIENCE, 2020, 31 (05) : 206 - 210
  • [37] Buccal mucosa urethroplasty for adult urethral strictures
    Zimmerman, W. Britt
    Santucci, Richard A.
    INDIAN JOURNAL OF UROLOGY, 2011, 27 (03) : 364 - 370
  • [38] Buccal mucosa urethroplasty in anterior urethral strictures
    Roca, Edreira A.
    Aguilera, Tubet C.
    Garcia-Montesinos, Perea B. M.
    Garcia, Montesinos M.
    Hernandez, Rodriguez R.
    ACTAS UROLOGICAS ESPANOLAS, 2008, 32 (05): : 517 - 521
  • [39] Female Urethroplasty with a Buccal Mucosa Graft using a Supraurethral Approach
    Kuo, Tricia
    Ucar, Murat
    Venugopal, Suresh
    Osman, Nadir I.
    Inman, Richard D.
    Chapple, Christopher R.
    INTERNATIONAL UROGYNECOLOGY JOURNAL, 2024, 35 (05) : 1093 - 1095
  • [40] Staged buccal mucosa urethroplasty in reoperative hypospadias
    Nerli, R. B.
    Neelagund, S. E.
    Guntaka, Ajay
    Patil, Shivagouda
    Hiremath, Siddayya C.
    Jali, Sujata M.
    Vernekar, Ritesh
    Hiremath, Murigendra B.
    INDIAN JOURNAL OF UROLOGY, 2011, 27 (02) : 196 - 199