BUCCAL MUCOSAL GRAFT IN REPEAT URETHROPLASTY

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MEHRSAI A.A.R.; SINA A.; POURMAND GH.; DJALADAT H.

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Journal Paper

Paper Information

Journal: UROLOGY JOURNAL Year:2005 | Volume:2 | Issue:4 Page(s): 206-210

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Information Journal Paper

Title

BUCCAL MUCOSAL GRAFT IN REPEAT URETHROPLASTY

Author(s)

MEHRSAI A.A.R. | SINA A. | POURMAND GH. | DJALADAT H. | Issue Writer Certificate

Keywords

URETHROPLASTY

GRAFT

URETHRAL STRICTURE

BUCCAL MUCOSA

Abstract

Introduction: Our aim was to evaluate the efficacy of a tubed BUCCAL MUCOSAl GRAFT in repeat URETHROPLASTY for patients with URETHRAL STRICTURE and failed previous operations.Materials and Methods: Ten patients (aged 12 to 47 years) with URETHRAL STRICTURE were entered into the study. All had a history of failed previous urethroplasties, and 5 had failed internal urethrotomies, too. Repeat urethroplasties were performed by excising the fibrous tissue around the stricture; BUCCAL MUCOSA was then harvested from the inner cheek, made into GRAFT tubing, and interposed into the defect. The patients were followed at 1, 6, and 12 months. Results: The procedure was technically successful in all the patients. The meanoperative time was 150 minutes. The stricture sites were in the posterior urethra in 8 and the anterior urethra in 2 patients. The mean urethral defect length was 4.9 cm. The primary etiology was pelvic fracture in 7 patients. Strictures recurred postoperatively in 3 patients, all of whom had a urethral defect longer than 5 cm, and 2 of whom had more than 1 previous failed urethroplasties (compared with lout of 7 in the successful cases). Urinary flow rate increased significantly (from 0 to 10.4 ± 7.33 mL/s) postoperatively (P = .018). Longer strictures produced significantly poorer GRAFT URETHROPLASTY outcomes (P = .001).Conclusion: URETHROPLASTY with BUCCAL MUCOSAl GRAFTs is tough, resilient, easy to harvest, and leaves no scar. It appears to be an optimal substitute for anterior and posterior URETHRAL STRICTUREs longer than 3 cm.

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APA: Copy

MEHRSAI, A.A.R., SINA, A., POURMAND, GH., & DJALADAT, H.. (2005). BUCCAL MUCOSAL GRAFT IN REPEAT URETHROPLASTY. UROLOGY JOURNAL, 2(4), 206-210. SID. https://sid.ir/paper/270721/en

Vancouver: Copy

MEHRSAI A.A.R., SINA A., POURMAND GH., DJALADAT H.. BUCCAL MUCOSAL GRAFT IN REPEAT URETHROPLASTY. UROLOGY JOURNAL[Internet]. 2005;2(4):206-210. Available from: https://sid.ir/paper/270721/en

IEEE: Copy

A.A.R. MEHRSAI, A. SINA, GH. POURMAND, and H. DJALADAT, “BUCCAL MUCOSAL GRAFT IN REPEAT URETHROPLASTY,” UROLOGY JOURNAL, vol. 2, no. 4, pp. 206–210, 2005, [Online]. Available: https://sid.ir/paper/270721/en

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