Harvesting oral mucosa for one-stage anterior urethroplasty.
Oral mucosa has been the most popular substitute material for urethral reconstructive surgery because it is easy to harvest, is easy to access, has a concealed donor site scar, and obviates most of the problems associated with other grafts. However, the success of using oral mucosa for urethral surgery is mainly attributed to the biological properties of this tissue. Herein, the surgical steps of harvesting oral mucosa from the inner cheek are presented with an emphasis on tips and tricks to render the process easier and more reproducible and to prevent intra and post-operative complications. The following steps are emphasized: Nasal intubation, ovoid shape graft, delicate harvesting leaving the muscle intact, donor site closure and removal of submucosal tissue.
Center for Reconstructive Urology, Pune, India.
Sanjay Balwant
SB
Kulkarni
Center for Reconstructive Urethral Surgery, Arezzo, Italy.
Guido
G
Barbagli
Center for Reconstructive Urethral Surgery, Arezzo, Italy.
Salvatore
S
Sansalone
Center for Reconstructive Urology, Pune, India.
Pankaj Mangalkumar
PM
Joshi
Cheek; free graft; mouth; one-stage urethroplasty; oral mucosa; urethra