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• W2061874337 abstract "INTRODUCTION AND OBJECTIVES: While buccal mucosa is the most commonly used graft in urethral reconstruction, the size of the graft that can be harvested from 1 cheek may be limited by the patient’s anatomy. In order to try to avoid use of other oral sites, we have reconfigured buccal grafts to provide improved length and width. The objective of this study is to report the surgical technique and patient outcomes utilizing this approach. METHODS: We retrospectively identified patients who had undergone urethral reconstruction using buccal graft reconfiguration from 1997-2011. Reconfiguration was performed by harvesting a trapezoidal graft, excising the widened part of the graft distally and suturing it to the narrower proximal end to create a rectangle. Forty-one patients were identified who met study criteria and were included in the analysis. Data collected included stricture location, urethrotomy defect length, type of repair, complications and postoperative follow-up. RESULTS: Of the 41 patients, 7.3% (3/41) had penile, 12.2% (5/41) penile-bulbar and 80.5% (33/41) bulbar strictures. The types of urethroplasty performed included 29.3% (12/41) dorsal onlay, 9.8% (4/41) dorsal augmented anastomotic urethroplasty (AAU), 22.0% (9/ 41) ventral onlay and 39.0% (16/41) ventral AAU. Median urethrotomy defect length was 7cm (range: 5-9.5cm) and median graft length was 6.5cm (range: 5-9.5cm). Thirty-nine patients had three-week postoperative VCUG available for review. All were normal. At a median follow-up of 7.0 months (range 3.9-60.2), 95.1% (39/41) were patent with no evidence of recurrence. Two patients were noted cystoscopically to have focal stricture recurrence at 3.9 and 25.8 months after surgery, but neither has required an additional procedure to date. There was no increased morbidity at the donor site compared to our standard buccal graft population. CONCLUSIONS: We conclude that buccal graft reconfiguration is a useful technique to increase the size of the graft that may be harvested from 1 cheek. This allows preservation of other oral sites for future use if necessary." @default.
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• W2061874337 date "2012-04-01" @default.
• W2061874337 modified "2023-09-25" @default.
• W2061874337 title "87 RECONFIGURATION OF BUCCAL MUCOSA GRAFT FOR URETHROPLASTY: TECHNIQUE AND RESULTS" @default.
• W2061874337 doi "https://doi.org/10.1016/j.juro.2012.02.134" @default.
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