COMPARATIVE STUDY BETWEEN BUCCAL MUCOSAL GRAFT URETHROPLASTY AND ENDOSCOPIC URETHROTOMY (OIU)

Dr A. K. Malviya, Dr. Shailesh Kr. Sinha, Dr. D. K. Das, Dr Rohit Singh, Dr. Pankaj Mishra, Dr Kaushal, Dr Prabhat, Dr Md Habibullah Ansari, Dr Shweta Kumari

Abstract


Introduction: Urethral stricture is a common cause of difficulty in passing urine in men. The stricture is usually sited in the bulbar part of the urethra causing symptoms such as reduced urine flow. Initial treatment is typically by endoscopic urethrotomy but recurrence occurs in about 50-60% of men. The alternative of open urethroplasty involves surgically reconstructing the urethra, which may need a buccal mucosal graft (BMG). In the absence of firm evidence as to which is best, individual men have to trade off the invasiveness and possible benefit of each option. This comparative study was done to know which is better between open and endoscopic approach in terms of recurrence and outcome.

 

Material and Methods: From March 2018 to September 2018 we analysed 36 patients presenting with symptoms of urethral stricture disease like urgency, frequency of urination, poor urinary stream. Out of 36 patients, 20 underwent endoscopic urethrotomy while 16 patients underwent BMG urethroplasty. Participants were followed for 6-12 months measuring symptoms, flow rate, recurrence and the need for re-intervention.

 

Result: Mean stricture length was 3.5 ± 0.8 cm. During follow-up two patients developed stricture formation in patients undergoing BMG urethroplasty while 10 developed stricture in patients undergoing OIU.   Success rate was 87.5% in BMG urethroplasty and 50% in OIU.

 

Conclusion: Buccal mucosal graft urethroplasty provides excellent results for anterior urethral stricture than OIU.

 


Keywords


buccal mucosal graft, urethroplasty, stricture, oiu

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References


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