title: [Buccal mucosa graft augmented anastomotic urethroplasty for the treatment of bulbar urethral strictures].
abstract: OBJECTIVE
  To report our outcomes with the use of buccal mucosal graft anastomotic urethroplasty to reconstruct complex anterior urethral strictures.
  
  
  METHODS
  Between October 2007 and January 2011 we conducted a retrospective review of a series of 65 patients from 2 different centers. We analyzed demographic data, surgical outcomes and complications.
  
  
  RESULTS
  Patient mean age was 50.09 years (range: 25 to 75), mean stricture length was 3.95 cm (range: 3 to 7 cm) and mean follow-up 33.13 months (range: 12.7 to 52.77). Eighty percent of patients had prior treatments, mainly direct visual internal urethrotomy (DVIU) and urethral dilatation. Most frequent etiologies were iatrogenic in 46.15% of patients and idiopathic in 35.38% of patients. Success rate was achieved in 96.92% of patients; only 2 patients presented recurrence and were treated successfully with one DVIU. Clavien Dindo I-II complications were found in 59% of patients. No patient had chronic sequels.
  
  
  CONCLUSIONS
  Augmented anastomotic urethroplasty using dorsal onlay buccal mucosa graft enables correction, in one time, of long segment urethral strictures with severe spongiofibrosis and/or obliterated lumen. Our outcomes are comparable with those of previously reported in international series.
authors.affiliation: Centro de Educación Médica e Investigaciones Clínicas "Dr. Norberto Quirno" (CEMIC), Buenos Aires, Argentina. Obra Social de los Empleados de Comercio y Actividades Civiles (OSECAC), Buenos Aires, Argentina. Eastern Virginia Medical School, Norfolk, Virginia, Estados Unidos.
authors.forename: Ramón
authors.initials: R
authors.lastname: Virasoro
authors.affiliation: Eastern Virginia Medical School, Norfolk, Virginia, Estados Unidos.
authors.forename: Oscar Alfonso
authors.initials: OA
authors.lastname: Storme
authors.affiliation: Centro de Educación Médica e Investigaciones Clínicas "Dr. Norberto Quirno" (CEMIC), Buenos Aires, Argentina. Obra Social de los Empleados de Comercio y Actividades Civiles (OSECAC), Buenos Aires, Argentina.
authors.forename: Leandro
authors.initials: L
authors.lastname: Capiel
authors.affiliation: Obra Social de los Empleados de Comercio y Actividades Civiles (OSECAC), Buenos Aires, Argentina.
authors.forename: Diego Andrés
authors.initials: DA
authors.lastname: Ghisini
authors.affiliation: Centro de Educación Médica e Investigaciones Clínicas "Dr. Norberto Quirno" (CEMIC), Buenos Aires, Argentina.
authors.forename: AugustÍn
authors.initials: A
authors.lastname: Rovegno
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods