OP2-09 DORSAL ONLAY SKIN GRAFT VERSUS BUCCAL MUCOSAL GRAFT FOR REPAIR OF LONG ANTERIOR URETHRAL STRICTURE; A PROSPECTIVE RANDOMIZED STUDY

Abstract

You have accessJournal of UrologyOutstanding Posters: Benign Disease1 Apr 2014OP2-09 DORSAL ONLAY SKIN GRAFT VERSUS BUCCAL MUCOSAL GRAFT FOR REPAIR OF LONG ANTERIOR URETHRAL STRICTURE; A PROSPECTIVE RANDOMIZED STUDY Mohamed Hussein, Mohamed Zaki, Wael Gamal, Esam Salem, and Ahmed Hammady Mohamed HusseinMohamed Hussein More articles by this author , Mohamed ZakiMohamed Zaki More articles by this author , Wael GamalWael Gamal More articles by this author , Esam SalemEsam Salem More articles by this author , and Ahmed HammadyAhmed Hammady More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2559AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare between penile skin and buccal mucosa as a dorsal onlay graft for management of long anterior urethral stricture. METHODS Between march 2008 and January 2012, 45 patients with bulbo-penile urethral stricture received dorsal onlay skin graft (DSG=24) or dorsal onlay buccal mucosal graft (DBMG=21) urethroplasty. Patients with lichen sclerosis and previous urethroplasty were excluded. Patients were evaluated by urethrography at 3 m, 6 m, 1 y and then when needed. Any subsequent intervention was considered a failure. Chi-square and Student-t test were used for analysis. RESULTS Mean age of the patients was 38.5 y(21-62)&35 y(25-50) in DSG&DBMG respectively (p=0.08). Stricture length was 11.6 cm (7-18)&9.9cm (5-15) in DSG&DBMG respectively (p=0.16). Operative time was 121 min (90-150) &132 min(100-160) in DSG&DBMG respectively (p=0.04). Mean follow up was 39 m(20-55)&34.8 m (16-50) in DSG&DBMG respectively (p=0.09). One patient had wound infection and one had skin numbness in DSG group. Weak erection occurred in 3&2 patients in DSG&DBMG respectively who improved within 6-12 months. No donor site complications occurred. Stricture recurred in 3(12.5%) &2(9.5%) patients in DSG&DBMG respectively (p=0.07). All recurred cases received anastmotic urethroplasy. CONCLUSIONS Both penile skin and buccal mucosa had high and comparable success rate as a dorsal onlay graft for management of long bulbo-penile stricture with low complication rate. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e390 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Mohamed Hussein More articles by this author Mohamed Zaki More articles by this author Wael Gamal More articles by this author Esam Salem More articles by this author Ahmed Hammady More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...