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78 Dorsal onlay skin graft versus buccal mucosal graft for repair of long anterior urethral stricture: A prospective randomized study
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Dorsal onlay skin graft versus buccal mucosal graft for repair of long anterior urethral stricture: A prospective randomized study Eur Urol Suppl 2014;13;e78
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Hussein M.M., Zaki M., Gamal W., Salem E., Hammady R., Sohag University Hospital, Sohag, Egypt Sohah University Hospital, Dept. of Urologgy, Sohag, Egypt INTRODUCTION & OBJECTIVES: To compare between penile skin and buccal mucosa as a dorsal onlay graft for management of long anterior urethral stricture. MATERIAL & METHODS: Between march 2008 and January 2012, 45 patients with bulbo-penile urethral stricture received dorsal onlay skin graft (DSG=24) or dorsal onlay buccal mucosal graft (DBMG=21) urethroplasty. Patients with lichen sclerosis and previous urethroplasty were excluded. Patients were evaluated by urethrography at 3 m, 6 m, 1 y and then when needed. Any subsequent intervention was considered a failure. Chi-square and Student-t test were used for analysis. RESULTS: Mean age of the patients was 38.5 y(21-62)&35 y(25-50) in DSG&DBMG respectively (p=0.08). Stricture length was 11.6 cm(718)&9.9cm(5-15) in DSG&DBMG respectively (p=0.16). Operative time was 121 min(90-150)&132 min(100-160) in DSG&DBMG respectively (p=0.04). Mean follow up was 39 m(20-55)&34.8 m(16-50) in DSG&DBMG respectively (p=0.09). One patient had wound infection and one had skin numbness in DSG group. Weak erection occurred in 3&2 patients in DSG&DBMG respectively who improved within 6-12 months. No donor site complications occurred. Stricture recurred in 3(12.5%)&2(9.5%) patients in DSG&DBMG respectively (p=0.07). All recurred cases received anastmotic urethroplasy. CONCLUSIONS: Both penile skin and buccal mucosa had high and comparable success rate as a dorsal onlay graft for management of long bulbo-penile stricture with low complication rate.
Dorsal onlay skin graft versus buccal mucosal graft for repair of long anterior urethral stricture: A prospective randomized study Eur Urol Suppl 2014;13;e78
Print! Print!
Hussein M.M., Zaki M., Gamal W., Salem E., Hammady R., Sohag University Hospital, Sohag, Egypt Sohah University Hospital, Dept. of Urologgy, Sohag, Egypt INTRODUCTION & OBJECTIVES: To compare between penile skin and buccal mucosa as a dorsal onlay graft for management of long anterior urethral stricture. MATERIAL & METHODS: Between march 2008 and January 2012, 45 patients with bulbo-penile urethral stricture received dorsal onlay skin graft (DSG=24) or dorsal onlay buccal mucosal graft (DBMG=21) urethroplasty. Patients with lichen sclerosis and previous urethroplasty were excluded. Patients were evaluated by urethrography at 3 m, 6 m, 1 y and then when needed. Any subsequent intervention was considered a failure. Chi-square and Student-t test were used for analysis. RESULTS: Mean age of the patients was 38.5 y(21-62)&35 y(25-50) in DSG&DBMG respectively (p=0.08). Stricture length was 11.6 cm(718)&9.9cm(5-15) in DSG&DBMG respectively (p=0.16). Operative time was 121 min(90-150)&132 min(100-160) in DSG&DBMG respectively (p=0.04). Mean follow up was 39 m(20-55)&34.8 m(16-50) in DSG&DBMG respectively (p=0.09). One patient had wound infection and one had skin numbness in DSG group. Weak erection occurred in 3&2 patients in DSG&DBMG respectively who improved within 6-12 months. No donor site complications occurred. Stricture recurred in 3(12.5%)&2(9.5%) patients in DSG&DBMG respectively (p=0.07). All recurred cases received anastmotic urethroplasy. CONCLUSIONS: Both penile skin and buccal mucosa had high and comparable success rate as a dorsal onlay graft for management of long bulbo-penile stricture with low complication rate.