Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.

Aim: Representing our data regarding use of buccal mucosa for treatment of recurrent urethral stricture. Evaluating effectiveness of buccal graft for reconstruction of urethral segment both penile and bulbar urethra. Materials and methods: We repaired 95 urethral strictures with buccal mucosa gra...

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Main Authors: Gezim Galiqi, Artan Koni, Flamur Tartari, Albert Pesha, Shpetim Ymeri, Luan Bajri, Shkelqim Ferko, Anton Ndoj
Format: Article
Language:English
Published: Albanian Society for Trauma and Emergency Surgery 2019-01-01
Series:Albanian Journal of Trauma and Emergency Surgery
Subjects:
Online Access:http://journal.astes.org.al/index.php/AJTES/article/view/21
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spelling doaj-f06acdcab81047f0a6fde365c89dc9942020-11-25T02:34:01ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222019-01-013110.32391/ajtes.v3i1.2121Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.Gezim Galiqi0Artan Koni1Flamur Tartari2Albert Pesha3Shpetim Ymeri4Luan Bajri5Shkelqim Ferko6Anton Ndoj7Regional Hospital of Shkoder, AlbaniaRegional Hospital of Shkoder, AlbaniaUniversity Urology Clinic Tirana, AlbaniaRegional Hospital of Fier, AlbaniaRegional Hospital of Shkoder, AlbaniaRegional Hospital of Shkoder, AlbaniaRegional Hospital of Durres, AlbaniaRegional Hospital of Durres, AlbaniaAim: Representing our data regarding use of buccal mucosa for treatment of recurrent urethral stricture. Evaluating effectiveness of buccal graft for reconstruction of urethral segment both penile and bulbar urethra. Materials and methods: We repaired 95 urethral strictures with buccal mucosa grafts from 2004 to 2015. Mean patient age was 39 years. The etiology of stricture was unknown in 54% of cases in other cases ischemia, trauma, instrumentation was the reason. 96% had undergone previous urethrotomy or dilation. The buccal mucosa graft was harvested from lower lip mostly. Mean graft length was 3.8 cm. The graft was placed on the ventral and dorsal bulbar urethral surface in 61 and 34 cases, respectively. In pendulous urethra we routinely use the dorsal graft the Asopa inlay graft or Barbagli onlay graft. Clinical outcome was considered a success or failure at the time that any postoperative procedure was needed, including dilation. Mean follow-up was 36 months (range 16 to 62). Results: We had a success rate of 77% with dorsal inlay or onlay flap for pendulous urethra inferior than ventral graft used for bulbar urethra which was 81% success rate. Conclusions: In our experience the placement of buccal mucosa grafts into the ventral or dorsal surface of the bulbar urethra showed an acceptable success rates 81% and 77% respectively. Longer times of follow up is need to see if the results deteriorated more.http://journal.astes.org.al/index.php/AJTES/article/view/21buccal mucosagrafturethroplastyurethral stricture
collection DOAJ
language English
format Article
sources DOAJ
author Gezim Galiqi
Artan Koni
Flamur Tartari
Albert Pesha
Shpetim Ymeri
Luan Bajri
Shkelqim Ferko
Anton Ndoj
spellingShingle Gezim Galiqi
Artan Koni
Flamur Tartari
Albert Pesha
Shpetim Ymeri
Luan Bajri
Shkelqim Ferko
Anton Ndoj
Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
Albanian Journal of Trauma and Emergency Surgery
buccal mucosa
graft
urethroplasty
urethral stricture
author_facet Gezim Galiqi
Artan Koni
Flamur Tartari
Albert Pesha
Shpetim Ymeri
Luan Bajri
Shkelqim Ferko
Anton Ndoj
author_sort Gezim Galiqi
title Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
title_short Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
title_full Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
title_fullStr Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
title_full_unstemmed Buccal One-Stage Mucosal Graft Urethroplasty for Urethral Stricture. Results of 10 Years of Experience.
title_sort buccal one-stage mucosal graft urethroplasty for urethral stricture. results of 10 years of experience.
publisher Albanian Society for Trauma and Emergency Surgery
series Albanian Journal of Trauma and Emergency Surgery
issn 2521-8778
2616-4922
publishDate 2019-01-01
description Aim: Representing our data regarding use of buccal mucosa for treatment of recurrent urethral stricture. Evaluating effectiveness of buccal graft for reconstruction of urethral segment both penile and bulbar urethra. Materials and methods: We repaired 95 urethral strictures with buccal mucosa grafts from 2004 to 2015. Mean patient age was 39 years. The etiology of stricture was unknown in 54% of cases in other cases ischemia, trauma, instrumentation was the reason. 96% had undergone previous urethrotomy or dilation. The buccal mucosa graft was harvested from lower lip mostly. Mean graft length was 3.8 cm. The graft was placed on the ventral and dorsal bulbar urethral surface in 61 and 34 cases, respectively. In pendulous urethra we routinely use the dorsal graft the Asopa inlay graft or Barbagli onlay graft. Clinical outcome was considered a success or failure at the time that any postoperative procedure was needed, including dilation. Mean follow-up was 36 months (range 16 to 62). Results: We had a success rate of 77% with dorsal inlay or onlay flap for pendulous urethra inferior than ventral graft used for bulbar urethra which was 81% success rate. Conclusions: In our experience the placement of buccal mucosa grafts into the ventral or dorsal surface of the bulbar urethra showed an acceptable success rates 81% and 77% respectively. Longer times of follow up is need to see if the results deteriorated more.
topic buccal mucosa
graft
urethroplasty
urethral stricture
url http://journal.astes.org.al/index.php/AJTES/article/view/21
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AT shkelqimferko buccalonestagemucosalgrafturethroplastyforurethralstrictureresultsof10yearsofexperience
AT antonndoj buccalonestagemucosalgrafturethroplastyforurethralstrictureresultsof10yearsofexperience
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