Outcome of Dorsal onlay Buccal Mucosal Graft Urethroplasty in the management of Female Stricture Urethra

Dr. Sandeep Maheswara Reddy Kallam; Dr. Prakasa Rao Busam

Volume : VIII, Issue : IV, April - 2019

Outcome of Dorsal onlay Buccal Mucosal Graft Urethroplasty in the management of Female Stricture Urethra

Dr. Sandeep Maheswara Reddy Kallam, Dr. Prakasa Rao Busam

Abstract :

Introduction: Urethral stricture disease is an under diagnosed cause of bladder outlet obstruction in females. The possible etiology may be idiopathic, infection, difficult catheterisation with subsequent fiosis, prior urethral surgery or trauma. We present our technique and results of dorsal onlay Buccal Mucosal Graft Urethroplasty (BMGU) for stricture urethra in females. Materials and Methods: A prospective study was performed on 15 female patients with stricture urethra who underwent dorsal onlay buccal mucosal graft urethroplasty from May 2015 to May 2018. All the patients had previously undergone multiple dilatations. The preoperative evaluation included detailed voiding history, local examination, uroflowmetry, caliation with 10 Fr Infant Feeding tube and Micturating Cystourethrogram (MCUG). Results: Mean age of presentation was 46.5 years. Mean Qmax improved from 6.9 to 24.2 ml/s and mean residual volume decreased from 161 to 17.3 ml. Mean operative time was 81.4 min and mean hospital stay was 3.8 days. Mean duration of follow–up was 18 months (6 months to 2 years). None of the patient was incontinent. Conclusion: Dorsal onlay Buccal Mucosal graft urethroplasty could be considered as an effective way to treat female urethral strictures.