Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty

Özet

Objective: Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty in patientswith a long- segment urethral strictures.Material and methods: Twenty male patients who underwent urethroplasty in our clinic between November 2015 and January 2017 were evaluated. The outcomes of single-stage dorsolateral buccal mucosalaugmentation urethroplasty were retrospectively evaluated. Patients were followed-up at 2nd-3rd weeks, 3rdand 6th months after the operation.Results: Mean age of the patients was 59.45±13.6 years. Mean length of the strictures was 4.59±1.99 cm(3-11 cm) and mean length of buccal mucosal graft was 6.8±1.98 cm (5-13 cm). Mean duration of operationwas 149.25±47.39 minutes (95-270 min) and mean blood loss was calculated as 165.5±63.05 mL (75-280mL). The success rate of dorsolateral buccal mucosal augmentation urethroplasty was calculated as 85%after a mean follow-up of 7.38±2.6 months. There were no perioperative or postoperative complications inthe urethroplasty region or the mouth except one patient. Three patients who were found to have a decline inthe maximum voiding rate in the postoperative 3rd month were included in the dilation program.Conclusion: Single-stage dorsolateral buccal mucosal augmentation urethroplasty is a surgical option to beused in the treatment of long segment urethral strictures with high success and low complication rates inexperienced hands.