An institutional experience on comparison of different Onlay approaches for urethroplasty using buccal mucosal graft

Authors

  • Chetan Baragi Asst. Professor, Dept of General Surgery, Shri Nijalingappa Medical College, Bagalkote, Karnataka, India
  • Amit Kumar Post Graduate, Dept of General Surgery, Shri Nijalingappa Medical College, Bagalkote, Karnataka, India
  • Rajashekhar Muchchandi Professor, Dept of Radiology, Al Ameen Medical College, Vijaypur, Jammu and Kashmir, India
  • Nandini Takkalaki Assistant Professor, Dept of Biochemistry, Al Ameen Medical College, Vijaypur, Jammu and Kashmir, India

Keywords:

Buccal mucosal graft, strictures, Onlay Procedures.

Abstract

Urethral stricture is a common disease encountered by urologist. Reconstruction of long and complex urethral strictures is technically demanding. BMG augmentation urethroplasty has become the standard of care for long urethral strictures. It is readily available and easily harvested with minimal donor site morbidity. Buccal mucosa is hairless, has a thin, elastin rich epithelium giving it excellent handling characteristics and a highly vascular lamina propria, which facilitates harvesting and imbibition. Whether to place the graft dorsally, ventrally or laterally is controversial. We conducted this Prospective study, between August 2009 and December 2011. We selected 25 cases of long anterior urethral strictures and were managed by onlay urethroplasty by different approaches. Follow up was done for 8- 20 months. 3 patients lost follow up after first visit. Post operative uroflowmetry was done in all patients after 1 month at the time of first follow up visit. Of 25 cases 21 (84%) were successful and 4 (16%) failed. In terms of success, not much significant difference was found between different approaches

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Published

2022-01-16

How to Cite

Chetan Baragi, Amit Kumar, Rajashekhar Muchchandi, & Nandini Takkalaki. (2022). An institutional experience on comparison of different Onlay approaches for urethroplasty using buccal mucosal graft. International Journal of Health and Clinical Research, 5(1), 390–394. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/4173

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