Substitution urethroplasty with buccal mucosal-free grafts.
OBJECTIVE
Buccal mucosal grafts and the Barbagli technique are recent developments in the treatment of urethral strictures.


METHODS
We reviewed the results of and experience with urethroplasty using buccal mucosal graft in 128 patients.


RESULTS
The re-stricture rate was 11% for patch grafts and 45% for tube grafts. There were no other complications.


CONCLUSIONS
Buccal mucosal graft is at least as good as any other material for substitution urethroplasty with fewer complications. The 2-stage is more reliable than the stage 1 approach for circumferential reconstruction of the urethra.
Institute of Urology and Nephrology, London, United Kingdom.
D E
DE
Andrich
A R
AR
Mundy
D000293:Adolescent; D000328:Adult; D000368:Aged; D002610:Cheek / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*