DORSOLATERAL ONLAY BUCCAL MUCOSAL GRAFT URETHROPLASTY IN MANAGEMENT OF INFLAMMATORY STRICTURE URETHRA:A PROSPECTIVE CLINICAL STUDY

Prakasa RB; Prabhakar Rao M; Sridhar P

Volume : V, Issue : X, October - 2016

DORSOLATERAL ONLAY BUCCAL MUCOSAL GRAFT URETHROPLASTY IN MANAGEMENT OF INFLAMMATORY STRICTURE URETHRA:A PROSPECTIVE CLINICAL STUDY

Prakasa Rb, Prabhakar Rao M, Sridhar P

Abstract :

INTRODUCTION : Urethroplasty can be done by placing buccal mucosal graft (BMG) ventrally, dorsally or dorsolaterally. The objectives of our study were to evaluate the success rate and complications associated with dorsolateral onlay BMG urethroplasty. METHODOLOGY :This is a prospective study of 30 patients with inflammatory stricture of anterior urethra over a 2 year period treated with dorsolateral onlay BMG urethroplasty. The test statistics used to analyze the data were descriptive statistics, Chi-square test, and Student�s t-Test. RESULTS : The etiology of stricture was lichen sclerosus in 90%. Panurethral strictures were more common. The mean length of stricture was 7.3 + 3.1 cm. 20% had minor complications at surgical site. Success which was defined as Qmax >15ml/sec was seen in 96% patients. CONCLUSION : Dorsolateral onlay BMG urethroplasty avoids the extensive circumferential mobilization of the urethra and preserves vascular, muscular and neurogenic support. The morbidity and complications are low and outcomes are excellent