86 LONG TERM RESULTS OF LINGUAL MUCOSAL GRAFTS FOR REPAIRING LONG ANTERIOR URETHRAL STRICTURES

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery II1 Apr 201286 LONG TERM RESULTS OF LINGUAL MUCOSAL GRAFTS FOR REPAIRING LONG ANTERIOR URETHRAL STRICTURES Samir Elgamal, Mohamed Abu Farha, Ahmed El-abd, Ahmed Tawfik, and Mohamed Soliman Samir ElgamalSamir Elgamal Tanta, Egypt More articles by this author , Mohamed Abu FarhaMohamed Abu Farha Tanta, Egypt More articles by this author , Ahmed El-abdAhmed El-abd Tanta, Egypt More articles by this author , Ahmed TawfikAhmed Tawfik Tanta, Egypt More articles by this author , and Mohamed SolimanMohamed Soliman Tanta, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.133AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The lingual mucosal graft is widely used as an effective option for urethral reconstruction, however, the long term outcome of these patients remain unclear. The aim of this study is to report the long term results of repairing long anterior urethral strictures with lingual mucosa onlay grafts. METHODS This study included 23 patients who underwent lingual mucosa onlay graft for management of long anterior urethral stricture and were followed for at least 5 years. A free graft of lingual mucosa was used as a ventral onlay in 8 patients and as a dorsal onlay in the remaining 15 patients. Mean stricture length was 4.6 cm (range 3 to 11.5). International Prostate Symptom Score and uroflowmetry were obtained preoperatively, at 3, 6 and 12 months postoperatively, and annually thereafter. A retrograde urethrogram with a voiding cystourethrogram was taken preoperatively, at catheter removal, after 3 and 6 months postoperatively and selectively thereafter. A successful outcome was defined as normal voiding with no stricture on the urethrogram and no need for subsequent instrumentation. RESULTS The mean age of the patients was 36.3 years (range 21-62). The mean follow-up was 66 months (range 60 to 72). Etiology of the strictures was trauma (in 9),instrumentation (in 7), idiopathic (in 4), urethritis (in 2) and prior hypospadias repair (in 1). Success was achieved in 20 of 23 patients (87%). Recurrent stricture was developed in the remaining 3 patients. All failures occurred within the first year and were managed successfully by internal urethrotomy. There were no fistulas or clinically perceptible graft sacculations. Also, there were no long term donor site complications. CONCLUSIONS With long-term follow-up our series confirms the durability of lingual mucosal onlay grafts for the treatment of long anterior urethral strictures. This procedure results in a long term high success rate with few complications that occurs primarily during the first 12 postoperative months. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e36-e37 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Samir Elgamal Tanta, Egypt More articles by this author Mohamed Abu Farha Tanta, Egypt More articles by this author Ahmed El-abd Tanta, Egypt More articles by this author Ahmed Tawfik Tanta, Egypt More articles by this author Mohamed Soliman Tanta, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...