A Review of Buccal Mucosa Graft Ureteroplasty

• Published in: Current urology reports Vol. 19; no. 4; p. 23
• Main Authors: Lee, Ziho, Keehn, Aryeh Y., Sterling, Matthew E., Metro, Michael J., Eun, Daniel D.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-04-2018
• Subjects: Medicine; Medicine & Public Health; Nephrology; Section Editor; Surgery (J Simhan; Topical Collection on Surgery; Urology; Ureteral stricture; Ureteral reconstruction; Buccal mucosa graft
• ISSN: 1527-2737; 1534-6285
• DOI: 10.1007/s11934-018-0772-5

Purpose of Review
We review the buccal mucosa graft (BMG) ureteroplasty literature to evaluate its utility in the management of ureteral strictures, identify indications for which it is particularly useful, and highlight refinements in surgical technique.
Recent Findings
Recent reports have described the efficacy of robotic BMG ureteroplasty and the utilization of near-infrared fluorescence to assist with precise identification of the ureteral stricture margins.
Summary
BMG ureteroplasty is well-suited for ureteral reconstruction as it allows for minimal disruption of the delicate ureteral blood supply and facilitates a tension-free anastomosis. This technique is particularly useful in patients with long ureteral strictures not amenable to ureteroureterostomy and in patients with a recurrent ureteral stricture after a previously failed ureteral reconstruction.