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. 2018 May 21;45(3):223-229.
doi: 10.5152/tud.2018.47827. Print 2019 May.

Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty

Abdulmuttalip Şimşek  1 , Mustafa Gürkan Yenice  1 , Kamil Gökhan Şeker  1 , Yusuf Arıkan  1 , Yunus Çolakoğlu  1 , Emre Şam  1 , Volkan Tuğcu  1
Affiliations

Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty

Abdulmuttalip Şimşek et al. Turk J Urol. .

Abstract

Objective: Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty in patients with a long- segment urethral strictures.

Material and methods: Twenty male patients who underwent urethroplasty in our clinic between November 2015 and January 2017 were evaluated. The outcomes of single-stage dorsolateral buccal mucosal augmentation urethroplasty were retrospectively evaluated. Patients were followed-up at 2nd-3rd weeks, 3rd and 6th months after the operation.

Results: Mean age of the patients was 59.45±13.6 years. Mean length of the strictures was 4.59±1.99 cm (3-11 cm) and mean length of buccal mucosal graft was 6.8±1.98 cm (5-13 cm). Mean duration of operation was 149.25±47.39 minutes (95-270 min) and mean blood loss was calculated as 165.5±63.05 mL (75-280 mL). The success rate of dorsolateral buccal mucosal augmentation urethroplasty was calculated as 85% after a mean follow-up of 7.38±2.6 months. There were no perioperative or postoperative complications in the urethroplasty region or the mouth except one patient. Three patients who were found to have a decline in the maximum voiding rate in the postoperative 3rd month were included in the dilation program.

Conclusion: Single-stage dorsolateral buccal mucosal augmentation urethroplasty is a surgical option to be used in the treatment of long segment urethral strictures with high success and low complication rates in experienced hands.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

Figures

Figure 1a, b
Figure 1a, b
Perineal incision (a) and unilateral mobilization of the corpus spongiosum (b)
Figure 2a, b
Figure 2a, b
Incision along the dorsal line of the urethra
Figure 3a, b
Figure 3a, b
The prepared buccal mucosa (a) was sutured with 5-0 polyglactin (b) (Health Sciences University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Urology Clinic, Reconstructive Urology Unit Archive)
See this image and copyright information in PMC

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