Early experience with the use of buccal mucosa for substitution urethroplasty
Article first published online: 25 DEC 2001
British Journal of Urology
Volume 81, Issue 5, pages 738–740, May 1998
How to Cite
Venn and Mundy (1998), Early experience with the use of buccal mucosa for substitution urethroplasty. British Journal of Urology, 81: 738–740. doi: 10.1046/j.1464-410x.1998.00617.x
- Issue published online: 25 DEC 2001
- Article first published online: 25 DEC 2001
- Urethral stricture;
- graft survival;
- skin transplantation
To evaluate the early results of anterior urethroplasty using a one-stage free graft with buccal mucosa.
Patients and method
Thirty-nine patients (aged 23–59 years) underwent a one-stage urethroplasty using buccal mucosa, 28 as a patch and 11 as tube grafts. All patients were evaluated by post-operative urethrography at 6 months and were followed using urinary flow rates and symptoms for 2–5 years.
There was one recurrent stricture (3%) in the group with a patch urethroplasty but five of the 11 patients with tube grafts had a recurrent stricture.
The early results using buccal mucosa for patch urethroplasty are encouraging. Although the results from tube grafts are poor, they are similar to those from other methods of single-stage urethroplasty.