Hadi Alqadhi, H., Al-Hallaq, Y. (2021). Dorsal Onlay Buccal Mucosal Graft Urethroplasty for Anterior Urethral Stricture:Single Center Experience. Alustath, 21(4), 437-443. doi: 10.52573/ipmj.2021.177066
Hayder Ali Hadi Alqadhi; Yousuf Mohammed Al-Hallaq. "Dorsal Onlay Buccal Mucosal Graft Urethroplasty for Anterior Urethral Stricture:Single Center Experience". Alustath, 21, 4, 2021, 437-443. doi: 10.52573/ipmj.2021.177066
Hadi Alqadhi, H., Al-Hallaq, Y. (2021). 'Dorsal Onlay Buccal Mucosal Graft Urethroplasty for Anterior Urethral Stricture:Single Center Experience', Alustath, 21(4), pp. 437-443. doi: 10.52573/ipmj.2021.177066
Hadi Alqadhi, H., Al-Hallaq, Y. Dorsal Onlay Buccal Mucosal Graft Urethroplasty for Anterior Urethral Stricture:Single Center Experience. Alustath, 2021; 21(4): 437-443. doi: 10.52573/ipmj.2021.177066

Dorsal Onlay Buccal Mucosal Graft Urethroplasty for Anterior Urethral Stricture:Single Center Experience

Iraqi Postgraduate Medical Journal
Article 10, Volume 21, Issue 4, October 2022, Pages 437-443    PDF (311.42 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.177066
Authors
Hayder Ali Hadi Alqadhi* ; Yousuf Mohammed Al-Hallaq
Ghazi AL-Hariri Hospital for Surgical Specialties, Medical City, Baghdad, Iraq
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.
 
Keywords
urethroplasty; buccal graft; urethral stricture; complications
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