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Early experience with the use of buccal mucosa for substitution urethroplasty
1Institute of Urology and Nephrology and Department of Urology, Guy's Hospital, London, UK.
Objective:
To evaluate the early results of anterior urethroplasty using a one-stage free graft with buccal mucosa.
Patients And Method:
Thirty-nine patients (aged 23-59 years) underwent a one-stage urethroplasty using buccal mucosa, 28 as a patch and 11 as tube grafts. All patients were evaluated by post-operative urethrography at 6 months and were followed using urinary flow rates and symptoms for 2-5 years.
Result:
There was one recurrent stricture (3%) in the group with a patch urethroplasty but five of the 11 patients with tube grafts had a recurrent stricture.
Conclusion:
The early results using buccal mucosa for patch urethroplasty are encouraging. Although the results from tube grafts are poor, they are similar to those from other methods of single-stage urethroplasty.