Abstract
BACKGROUND:
Urethral stricture remains a great challenge. We reported dorsal onlay BMG urethroplasty for repair of anterior urethral stricture.
AIM OF THE STUDY:
is to analyze short term outcome of Dorsal Onlay Buccal mucosal graft Urethroplasty, in regarding the result and complication rate in surgical specialties hospital /Medical City.
PATIENTS AND METHODS:
From January 2017 to June 2019, a total of 20 cases were enrolled in this study with anterior urethral strictures managed by dorsal onlay BMG Urethroplasty.
Patients with lichen sclerosus, previous failed urethroplasty and posterior urethral stenosis were excluded; those patients were followed up at 3 weeks, 3 months and at 6 months with history, physical examination, uroflowmetry, PVRV and retrograde urethrogram. Successful outcome was defined as normal voiding pattern with no need for surgical intervention after catheter removal.
RESULTS:
Mean patients age was 41 years. Mean stricture length was 3.5cm. Two patients developed stricture recurrence, during follow-up and required further intervention and was considered as failure. One patient developed wound infection which resolved after regular dressing. Success rate was 90%.
CONCLUSION:
Dorsal BMG urethroplasty is a reliable and satisfactory procedure to manage long bulbar urethral strictures with a lower complication rate.
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