Outcomes of ventral buccal mucosal graft urethroplasty: Our experience at tertiary care hospital.

Abstract

Objective: To evaluate the outcomes of ventral buccal mucosal graft urethroplasty at tertiary care. Study Design: Case Control Study. Setting: Department of Urology, CMC/SMBBMU Larkana. Period: January 2018 to December 2018. Material & Methods: 50 patients with confidence interval of 95% and margin of error 5% Non-probability consecutive. All Data collected from record like age, stricture size, clinical presentation and routine investigation, Blood CP, ESR, urine culture and X-Ray retrograde urethrogram for proper diagnosis in all cases. Results: The mean age of patients was 35.2 years SD±15.25 years and Mean duration of symptoms was 14.7 month SD±9.98 month. Out of 50 cases of ventral onlay buccal mucosal graft urethroplasties, success rate was (90%). The main complication was transient swelling with altered sensation of lip in 3 cases (6%), 1 case (2%) with recurrent stricture at the site of proximal anastomosis, that was treated by direct vision internal urethrotomy. 1 case (2%) presented with impacted urethral stone that was removed endoscopically. Conclusion: Ventral buccal mucosa grafting urethroplasty give good results in long term with low rate of complications occurring mainly in first year postoperatively.