Bulbar urethral stricture repair with buccal mucosa graft urethroplasty.
OBJECTIVE
Evaluation of the use of buccal mucosa graft as single-stage urethral reconstruction in an adult population with a stenosis of the bulbar urethra.


METHODS
In our Department between April 1996 and February 1999, 20 patients with bulbar urethra stenosis underwent single-stage urethroplasty using a buccal mucosa graft. Mean age of patients was 52 years (range 14-70). The etiology of urethral stricture was inflammation (4 cases), iatrogenic (5 cases) and idiopathic (11 cases). A ventral onlay patch (mean length 3.6 cm, range 2.5-5) was employed in all cases.


RESULTS
During the follow-up (median 13 months, range 6-28) the overall success rate was 80%. The success rate was 75% for inflammatory strictures, 80% for iatrogenic strictures and 81% for strictures of unknown etiology.


CONCLUSIONS
Although longer follow-up is needed, free graft urethroplasty with buccal mucosa graft represents a simple surgical option which has produced encouraging results. This is probably due to the quality of the tissue employed which at present seems to represent the first-choice solution in selected cases.
Meneghini
A
A
Department of Urology, S. Bortolo Hospital, V. le Rodolfi, 34, 36100 Vicenza, Italy. menego@libero.it
Cacciola
A
A
Cavarretta
L
L
Abatangelo
G
G
Ferrarrese
P
P
Tasca
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D012189:Retrospective Studies; D014525:Urethral Stricture / Q000601:surgery*