[Urethroplasty in strictures of the posterior urethra with buccal mucosal graft].
The treatment of the strictures in the posterior urethra and especially in its bulbar part is a serious therapeutic problem. The urethroplasty with a buccal mucosal graft is a good choice in solving this problem.


METHODS
For a period of 8 months (11.2002-06.2003) 5 patients with strictures of the posterior urethra we operated and followed up. In 3 cases (60%) we made a ventral urethroplasty, and in 2 (40%) dorsal. The free buccal mucosal was taken from the inner part of the lower lip. We used an "onlay" technique in all patients.


RESULTS
The patients were from 32 to 76 years old (on average 56.2). All of them suffered several operative procedures before that. The causes of the strictures in 3 (60%) cases were due to medical treatment, in 1 (20%) case due to trauma and in 1 (20%) case due to inflammation. After the removing of the catheter all patients were urinating spontaneously with a flow > 15 ml/sec. Only in 1 patient, 10 days after the removing of the catheter, an urethrocystoscopy was done with an UTI, because of a retention.


CONCLUSIONS
The urethroplasty with a free buccal mucosal graft gives us great possibilities and priorities in the treatment of the strictures of the posterior urethra.
Slavov
Ch
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D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000601:surgery / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*