STUDY OF BUCCAL MUCOSA GRAFT URETHROPLASTY IN URETHRAL STRICTURES: A SINGLE CENTRE EXPERIENCE

Abstract

Background/purpose: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, bulbar, penile and pan anterior urethral stricture. This is a prospective hospital-Methods: based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from August 2017 to July 2021. The total number of involved patients was 50. The success rateResults: was found to be 92% (n=46), while 4 (8%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 40 (80%) and 2 (4%) patients, respectively. late complications occurred as follows 14 (28%) patients had UTI, 7 (14%) had wound infections, 7(14%) had changes in ejaculation, and decrease in intensity of orgasm, and 3 (6%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion: BMG urethroplasty is a versatile technique for all types of anterior urethral stricture with all types of aetiologies with good long term results even in a small scale private hospital.