title: Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity.
abstract: OBJECTIVE
  We prospectively compared buccal mucosa graft and lingual mucosa graft urethroplasty with respect to donor site morbidity and urethroplasty outcome.
  
  
  METHODS
  Patients treated with buccal mucosa graft (29) or lingual mucosa graft (29) urethroplasty were included in the study. Oral pain and morbidity were assessed using the numeric rating scale (scale 0 to 10) as well as an in-home questionnaire administered 3 days, 2 weeks and 6 months postoperatively.
  
  
  RESULTS
  After a mean (± SD) followup of 30 (± 13) months successful urethroplasty was achieved in 24 (82.8%) and 26 (89.7%) patients treated with buccal mucosa graft and lingual mucosa graft, respectively (p = 0.306). Median numeric rating scale after 3 days, 2 weeks and 6 months was 4, 2 and 0 for buccal mucosa graft and 6, 3 and 0 for lingual mucosa graft, respectively, with no statistical differences between the groups. At day 3 significantly more patients in the lingual mucosa graft group had severe difficulties with eating and drinking (62.1% vs 24.1%, p = 0.004) and speaking (93.1% vs 55.2%, p = 0.001), and had dysgeusia (48.3% vs 13.8%, p = 0.01). Two weeks postoperatively speech impairment was still more frequent with lingual mucosa graft (55.2% vs 13.8%, p = 0.002), whereas oral tightness was more frequent with buccal mucosa graft (41.4% vs 6.9%, p = 0.005). After 6 months 44.8% and 31% of patients treated with buccal mucosa graft and lingual mucosa graft, respectively, still reported sensitivity disorders (p = 0.279).
  
  
  CONCLUSIONS
  The success of urethroplasty with lingual and buccal mucosa grafts was similar. Oral pain was not different after both grafts. In the early postoperative period there were differences in oral morbidity between buccal and lingual mucosa grafts. Long-term oral morbidity was not infrequent with both grafts.
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: N
authors.initials: N
authors.lastname: Lumen
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: Vierstraete-Verlinde
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: W
authors.initials: W
authors.lastname: Oosterlinck
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Hoebeke
authors.affiliation: Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Palminteri
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Goes
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium. Electronic address: poli.urologie@uzgent.be.
authors.forename: H
authors.initials: H
authors.lastname: Maes
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium.
authors.forename: A-F
authors.initials: AF
authors.lastname: Spinoit
mesh_terms: D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D014059:Tongue; D060053:Transplant Donor Site / Q000293:injuries*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male
keywords: morbidity; mouth mucosa; urethral stricture