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• W2019947936 abstract "You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery II1 Apr 201058 OUTCOME OF DORSAL BUCCAL GRAFT AUGMENTED ANASTOMOSIS FOR URETHRAL STRICTURES Britton E. Tisdale, Erik T. Grossgold, Christopher Bayne, Lisa Parillo, Jeremy B. Tonkin, Kurt A. McCammon, and Gerald H. Jordan Britton E. TisdaleBritton E. Tisdale Norfolk, VA More articles by this author , Erik T. GrossgoldErik T. Grossgold Norfolk, VA More articles by this author , Christopher BayneChristopher Bayne Norfolk, VA More articles by this author , Lisa ParilloLisa Parillo Norfolk, VA More articles by this author , Jeremy B. TonkinJeremy B. Tonkin Portsmouth, VA More articles by this author , Kurt A. McCammonKurt A. McCammon Norfolk, VA More articles by this author , and Gerald H. JordanGerald H. Jordan Norfolk, VA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.105AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The use of buccal graft onlay has been shown to be an excellent option for long bulbar urethral strictures. A narrow lumen may preclude the use of an onlay alone, and in these instances an augmented anastomosis is needed. We therefore performed this study to evaluate the outcomes and complications of dorsal buccal graft augmented anastomosis urethroplasty (BGAA) for anterior urethral strictures. METHODS 76 patients underwent BGAA between 2000-2009. Their charts were retrospectively reviewed. Failure was defined as recurrent stricture requiring intervention. Three weeks post surgery patients underwent voiding urethrography. Flexible cysto-urethroscopy is performed 6 months after surgery. Patients are then followed yearly. RESULTS Mean age was 44 years. Follow-up averaged 49 months (range 3.6 to 108). Stricture etiology was idiopathic in 39/76 (51%), perineal trauma in 13/76 (17%), instrumentation in 9/76 (12%), non-specified trauma in 7/76 (9%), post hypospadias surgery in 4/76 (5%), post infectious in 3/76 (4%), radiation for local urethral cancer in 1/76. Mean stricture length was 6cm (range 2-15cm). 70/76 (92%) had previous urethral procedures, including dilation 54/76 (71%), urethrotomy 46/76 (61%), >/= 2 prior procedures 52/76 (68%), and urethroplasty 20/76 (26%) before referral to our center. Two buccal grafts were used on 20/76 (26%) of patients, one graft was used on 56/76 (74%). 72/76 (95%) of repairs were successful and 4/76 (5%) failed. Three patients underwent urethrotomy and are free from recurrence. One patient underwent dilation and is free from recurrence. One other patient has a wide calibre recurrence that is currently being monitored. Significant peri-operative complications included one pulmonary embolus (this patient was found to have a coagulopathy), one superficial venous thrombosis and two post-operative fevers presumed to be febrile urinary tract infections. CONCLUSIONS Dorsal buccal graft augmented anastomosis for anterior urethral strictures has excellent results with a 95% success rate. Continued surveillance of these patients is needed to confirm persistent durability. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e25 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Britton E. Tisdale Norfolk, VA More articles by this author Erik T. Grossgold Norfolk, VA More articles by this author Christopher Bayne Norfolk, VA More articles by this author Lisa Parillo Norfolk, VA More articles by this author Jeremy B. Tonkin Portsmouth, VA More articles by this author Kurt A. McCammon Norfolk, VA More articles by this author Gerald H. Jordan Norfolk, VA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2019947936 title "58 OUTCOME OF DORSAL BUCCAL GRAFT AUGMENTED ANASTOMOSIS FOR URETHRAL STRICTURES" @default.
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