title: A comparative study of lingual mucosal graft urethroplasty with buccal mucosal graft urethroplasty in urethral stricture disease: An institutional experience.
abstract: OBJECTIVE
  A prospective study to compare the outcomes of lingual versus buccal mucosal graft urethroplasty in patients with long segment anterior urethral strictures disease.
  
  
  METHODS
  The study included 30 patients for buccal mucosal graft urethroplasty (group I) and 30 patients for lingual mucosal graft urethroplasty (group II) for treatment of long segment (>3 cm) incomplete anterior urethral stricture disease using single-stage dorsal onlay free oral mucosal graft urethroplasty by Barbagli's technique between February 2013 to September 2014. All patients underwent complete evaluation of the stricture including inspection of the oral cavity.
  
  
  RESULTS
  The results of urethroplasty in between two group were not significant (P > 0.05) in terms of Qmax (P = 0.63), mean postoperative AUA symptom score (P = 0.83), operative time (P = 0.302) intra operative blood loss (P = 0.708), duration of postoperative hospitalization (P = 0.83), but slurring of speech complications was seen in group II, but not in group I. Long-term complications of salivary disturbance, tightness of the mouth, persistent pain at graft site, perioral numbness, seen only in group I (BMGU).
  
  
  CONCLUSIONS
  LMG urethroplasty is an excellent alternative to BMG urethroplasty with comparable results of urethroplasty and minimal donor site complications.
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Dilip Kumar
authors.initials: DK
authors.lastname: Pal
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Depak Kumar
authors.initials: DK
authors.lastname: Gupta
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Bastab
authors.initials: B
authors.lastname: Ghosh
authors.affiliation: Department of Urology, Postgraduate Institute of Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Malay Kumar
authors.initials: MK
authors.lastname: Bera
keywords: Buccal mucosal graft urethroplasty; lingual mucosal graft urethroplasty; urethral stricture disease