Reconstruction of the urethral meatus with a buccal mucosa graft.
A buccal mucosa graft from the lower lip was used for meatal reconstruction in 3 patients. The buccal mucosa graft was combined with a bladder mucosa graft for urethral substitution in 1 adult and 1 child, and was anastomosed to a skin tube for creating a glanular urethra in 1 child. The buccal mucosa graft obtained was approximately twice as wide as the desired urethra. Postoperatively the buccal mucosa graft became shrunken at the proximal anastomosis and urethral stricture developed in 2 children. The graft did not shrink at the meatus, but the meatus became widened in 2 patients. These results suggest that a buccal mucosa graft is useful for meatal reconstruction, but further technical improvement is necessary to avoid postoperative complications.
Watanabe
K
K
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Ogawa
A
A
Kiyono
M
M
D000328:Adult; D002610:Cheek; D002675:Child, Preschool; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D008297:Male; D009092:Mucous Membrane / Q000637:transplantation*; D011183:Postoperative Complications; D014182:Transplantation, Autologous / Q000379:methods; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder