Oral complications after buccal mucosal graft harvest for urethroplasty.
OBJECTIVE
To report long-term oral complications after buccal mucosal graft (BMG) harvesting for urethroplasty.


METHODS
In a retrospective study of all patients who had BMG harvesting for urethroplasty from April 1996 to September 2002, telephone interviews were conducted using a standard proforma.


RESULTS
Thirty-five patients were identified but only 30 (mean age 48.3 years, range 24-86) could be contacted; they had had 31 operations. Soon after surgery (the first 48 h), 22 (73%) of the patients had little or no oral pain; 70% and 90% of the patients were able to eat and drink, respectively; 59% complained of numbness and 75% complained of tightness of the mouth. At discharge 6 days after surgery 90% of patients had little or no oral pain and all were able to eat and drink, but 10% had moderate-to-severe oral pain, 39% had oral numbness, and 52% had tightness of the mouth. At the time of interview, 16% of patients had oral numbness (mean duration 13.6 months) and 32% had tightness of the mouth (mean duration 20.9 months). In answer to the question of whether they would have their cheek mucosa harvested again if required, 74% responded 'yes', 3% 'no', and 23% had mixed feelings.


CONCLUSIONS
BMG harvesting is a good operation, as most patients were satisfied, but it is not without long-term complications and patients should be adequately informed.
Department of Urology, Western General Hospital, Edinburgh, UK. dublin3@hotmail.com
Norman
N
Dublin
Laurence H
LH
Stewart
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008875:Middle Aged; D009059:Mouth Diseases / Q000209:etiology*; D009061:Mouth Mucosa / Q000637:transplantation; D017060:Patient Satisfaction; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D014182:Transplantation, Autologous; D014521:Urethra / Q000601:surgery*; D014522:Urethral Diseases / Q000601:surgery*