Evaluation of intraoral complications of buccal mucosa graft in augmentation urethroplasty.
OBJECTIVE
To evaluate intraoral complications of buccal mucosa grafts harvested from one cheek, and used in augmentation urethroplasty.


METHODS
Twenty-one patients with anterior urethral strictures were included in our study. In twelve patients, dorsal onlay, in five patients ventral onlay and in four patients lateral onlay procedures were applied. Average length of buccal mucosa graft from one cheek was 5.2 cm (3-8 cm). In all graft harvesting patients, bleeding in graft side, swelling, pain intensity of oral or perineal area, analgesic use, transition time to normal diet, slurred speech, loss of sensation, and patients' opinions about oral mucosa regrafting using this technique were evaluated using nine-item questionnaire forms.


RESULTS
Eighteen (85.7%) of our patients had mild pain, 13 (61.9%) had mild intraoral swelling, none of our patients had oral bleeding that needed extra procedure and all of our patients were observed to start off their normal diet in the first 3 days. Twelve (57.1%) of our patients needed analgesic agents after the operation while 14 (66.7%) of them have remarked that perineal incision was more painful. Twenty (95.3%) of our patients stated that they could go under the same procedure again. None of our patients had speech disorders or intraoral numbness.


CONCLUSIONS
Even though buccal mucosal grafting used in augmentation urethroplasty is not a completely painless procedure, buccal mucosa graft is an ideal source of allograft in terms of safe and easy obtainance and improved patient tolerance.
Department of Urology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Mehmet
M
Akyüz
Department of Urology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.
Mustafa
M
Güneş
Department of Urology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Orhan
O
Koca
Department of Urology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Zülfü
Z
Sertkaya
Department of Urology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Hüseyin
H
Kanberoğlu
Department of Urology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Muhammet İhsan
Mİ
Karaman
Augmentation urethroplasty; buccal graft complications; urethral stricture