title: Buccal Mucosal Graft Urethroplasty in Patients Awaiting Renal Transplantation.
abstract: OBJECTIVE
  To assess the perioperative morbidity and early outcome of buccal mucosal graft (BMG) urethroplasty in patients with urethral stricture awaiting renal transplantation.
  
  
  METHODS
  Thirteen patients awaiting renal transplantation underwent BMG urethroplasty for long anterior urethral stricture between June 2011 and March 2013. The management issues, complications, and outcome of the BMG urethroplasty in this cohort of patients were studied.
  
  
  RESULTS
  Mean age of the patient was 38.7 ± 12.7 years. History of urethral manipulation was present in 8 patients. Mean stricture length was 6.92 ± 2.90 cm. Mean serum creatinine of the patient was 8.1 ± 3.6 mg%. Three patients required oral exploration for bleeding. Two patients had urinary extravasation, 3 patients had infected hematoma, and 1 patient developed dry gangrene of the glans. One patient had sepsis due to pyonephrosis in the postoperative period and succumbed to it. Mean follow-up of the patients was 34.54 ± 6.46 months. Three patients underwent VIU for recurrence of the stricture in the follow-up. At 3-month follow-up mean Qmax was 23.8 mL/sec, whereas at 6-month and 1-year follow-up, Qmax was 23.6 and 23.4 mL/sec, respectively.
  
  
  CONCLUSIONS
  This study shows a relatively higher complication rate of urethroplasty in prerenal transplant patients. Although the number of cases is too small to arrive at any definite conclusion, this study does gives an insight into the management issues, complications, and success of urethroplasty in this group of patients.
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India. Electronic address: bipjip@gmail.com.
authors.forename: B C
authors.initials: BC
authors.lastname: Pal
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: P R
authors.initials: PR
authors.lastname: Modi
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: J D
authors.initials: JD
authors.lastname: Modi
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: R
authors.initials: R
authors.lastname: Nagarajan
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: K
authors.initials: K
authors.lastname: Patel
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: Y
authors.initials: Y
authors.lastname: Saifee
authors.affiliation: Department of Urology and Transplantation Surgery, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: A
authors.initials: A
authors.lastname: Sarmah
authors.affiliation: Department of Nephrology and Transplantation Medicine, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Ahmedabad, Gujarat, India.
authors.forename: H L
authors.initials: HL
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014850:Waiting Lists