Use of overlapping buccal mucosa graft urethroplasty for complex anterior urethral strictures
نویسنده
چکیده
Complex anterior urethral stricture disease typically manifests as a symptomatic, severely narrowed, long stricture (or multiple strictures) in which conventional excision and/or augmentation is not feasible. Overlapping buccal mucosal graft urethroplasty (OBMGU) is an innovative hybrid technique, combining the well-established principles of dorsal and ventral graft augmentation to allow single stage reconstruction of complex anterior urethral strictures. In this review, we discuss the rationale, techniques, and outcomes of OBMGU for complex anterior urethral strictures.
منابع مشابه
[Surgical treatment of urethral stenosis. Results of 100 urethroplasties].
BACKGROUND We report our results after 100 urethroplasties for the treatment of urethral stricture both at the bulbar and penile urethra, using different techniques. METHODS 100 patients with the diagnosis of anterior urethral stricture, that were submitted for urethroplasty in the period 1997-2007. Of them, 57 treated by end to end urethroplasty. 4 patients underwent augmented free graft ana...
متن کاملLong-Term Outcomes of Single Stage Dorsal Onlay Buccal Mucosa Urethroplasty for Different Anterior Urethral Strictures: A Prospective Study
Surgical treatment of urethral strictures is a continually evolving process, and currently there is renewed controversy over the best means of urethral reconstruction. Buccal mucosa graft (BMG) has gained much interest because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use [1,2]. A number of series reported success rate of 87-90% usi...
متن کاملOutcomes of Dorsal and Ventral Buccal Graft Urethroplasty at a Tertiary Hospital in Uganda
Purpose. Although the use of buccal mucosa in substitution urethroplasty has been practiced for some years, it has not been free of controversy over which surgical technique is the most appropriate to use. There is paucity of data in Sub-Saharan Africa about its success; this study presents the outcomes of dorsal and ventral buccal graft urethroplasty at a sub-Saharan tertiary hospital. Methods...
متن کاملNew frontiers in urethral reconstruction: injectables and alternative grafts
Contemporary management of anterior urethral strictures requires both endoscopic as well as complex substitution urethroplasty, depending on the nature of the urethral stricture. Recent clinical and experimental studies have explored the possibility of augmenting traditional endoscopic urethral stricture management with anti-fibrotic injectable medications. Additionally, although buccal mucosa ...
متن کاملDouble inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture.
OBJECTIVES Buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (1). The inlay and onlay buccal mucosa grafts are easier to perform, do not need urethral mobilization and generally have good long-term results (2-4). In the present video, we present a case where we used a double buccal mucosa graft technique in a simultaneous penile and bulbar ...
متن کامل