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• W2024772757 abstract "You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery1 Apr 201188 A PROSPECTIVE RANDOMIZED STUDY COMPARING FOUR DIFFERENT TECHNIQUES USED FOR MANAGEMENT OF LONG BULBAR URETHRAL STRICTURE BY BUCCAL MUCOSAL GRAFT Samir Elgamal, Hussein Abdel Hameed, Mohamed Gaber, Mohamed Abo El-Enen, and Mohamed Radwam Samir ElgamalSamir Elgamal Tanta, Egypt More articles by this author , Hussein Abdel HameedHussein Abdel Hameed Fayoum, Egypt More articles by this author , Mohamed GaberMohamed Gaber Tanta, Egypt More articles by this author , Mohamed Abo El-EnenMohamed Abo El-Enen Tanta, Egypt More articles by this author , and Mohamed RadwamMohamed Radwam Tanta, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.153AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Buccal mucosa has been advocated as an ideal graft material for urethral reconstruction. The graft may be placed as dorsal onlay (DO), ventral onlay (VO), dorsal inlay (DI) or as combined dorsal inlay plus ventral onlay double layer (DIVO). The aim of this study is to compare the surgical outcome as well as the complication rate of these 4 different techniques used for management of long bulbar urethral stricture using buccal mucosal graft (BMG). METHODS Between 2004 and 2009, 64 bulbar urethroplasty using BMG were performed at our institute. Four different techniques were offered: DO; 18 patients, VO; 16 patients; DI; 15 patients and DIVO; 15 patients. All of the patients were followed up with a pericatheter urethrography at 3 weeks, retrograde urethrography with micturating cystourethrography and uroflowmetry at 3, 6 and 12 months. Operative time, blood loss, early and late complications and success rate were compared between 4 groups. A successful outcome was defined as normal voiding with no stricture on the voiding cysto-urethrogram and no need for subsequent instrumentation. RESULTS The stricture length as well as mean follow-up were comparable between all groups. The mean operative time and mean operative blood loss were significantly higher in DO group (p = 0.001). In the dorsal onlay group, 2 patients had chordee while no patient had chordee in the other groups. The postvoid dribbling of urine as well as ejaculatory dysfunction was not significantly different between all groups. The overall success rate was similar in all groups, in the DO (88.8%); VO (87.5%); and in DI and DIVO groups (86.7%) (P > 0.05). CONCLUSIONS The 4 techniques provide similar success rate. Dorsal onlay associated with more complications and more blood loss and needs more operative time for complete mobilization of the stricture urethra dorsally which may be difficult especially in patients who underwent previous multiple urethrotomies. The other 3 techniques through a ventral sagittal approach are easy to perform and have a shorter operative time and less blood loss and associated with fewer complications. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e38 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Samir Elgamal Tanta, Egypt More articles by this author Hussein Abdel Hameed Fayoum, Egypt More articles by this author Mohamed Gaber Tanta, Egypt More articles by this author Mohamed Abo El-Enen Tanta, Egypt More articles by this author Mohamed Radwam Tanta, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2024772757 title "88 A PROSPECTIVE RANDOMIZED STUDY COMPARING FOUR DIFFERENT TECHNIQUES USED FOR MANAGEMENT OF LONG BULBAR URETHRAL STRICTURE BY BUCCAL MUCOSAL GRAFT" @default.
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