Buccal mucosa urethroplasty for the treatment of bulbar urethral strictures

• Published in: The Journal of urology Vol. 161; no. 5; p. 1501
• Main Authors: Pansadoro, V, Emiliozzi, P, Gaffi, M, Scarpone, P
• Format: Journal Article
• Language: English
• Published: United States 01-05-1999
• Subjects: Adolescent; Adult; Aged; Follow-Up Studies; Humans; Middle Aged; Mouth Mucosa - transplantation; Urethral Stricture - surgery; Urologic Surgical Procedures - methods
• ISSN: 0022-5347
• DOI: 10.1016/S0022-5347(05)68938-0

We report the results of urethroplasty with a free graft of buccal mucosa as a dorsal onlay for the treatment of bulbar urethral strictures.
Since June 1994, 30 patients with bulbar urethral strictures have been treated with buccal mucosa urethroplasty. Urethroplasty was performed with a free graft of buccal mucosa using a ventral onlay in the first 7 patients and a dorsal onlay in 23. Dorsal urethrotomy was performed with a Sachse urethrotome after the bulbar urethra was separated from the corpora. The buccal mucosa onlay was sutured to the urethra and corpora cavernosa to ensure a patent urethra.
At 20-month followup (range 3 to 50) the success rate was 96% (29 of 30 patients). Urethral stricture recurred in only 1 of 7 patients in the ventral onlay and none of 23 in the dorsal onlay group.
Preliminary results of urethroplasty for bulbar urethral strictures with a dorsal onlay graft of buccal mucosa are excellent. Longer followup is needed to evaluate definitive results.