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Volume 4 No. 3, July 2009 |
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A prospective Randomized Study Comparing Buccal and Lingual Mucosal Dorsal Only Graft for Management of Anterior Urethral Strictures Samir A.Elgamal, Magid Ragab,Yasser Farhat, Mohamed Elbendary, Mahmoud Elsharaby and Osama Abo Farha Urology Department, Tanta University, Tanta, Egypt
Purpose:
In this prospective randomized controlled study we compared outcomes
as well as donor site complications of buccal mucosal graft (BMG)
versus lingual mucosal graft (LMG) dorsal onlay urethroplasty in
patients with anterior urethral strictures. Patients and Methods:
the study included 40 patients with anterior urethral strictures.
The patients were randomized to undergo BMG (20 patients) or LMG (20
patients) dorsal onlay urethroplasty. Early and late complications,
success rate and patient satisfaction were compared between the two
groups. Results: The number of patients with pendulous,
bulbar and bulbopendulous strictures as well as the mean stricture
length and mean follow-up were comparable between the two groups. No
significant difference between both groups in the operative time,
hospital stay, early postoperative pain and time to resume fluid
intake and normal diet. Late after surgery, the postoperative pain,
perioral numbness and tightness of the mouth as well as changes in
salivary function were significantly higher in the buccal mucosa
(BM) group versus the lingual mucosa (LM) group (p < 0.01). The
success rate in both groups was similar (90% in the BMG group and
85% in the LMG group) {p > 0.05}. In the BMG group 80% and in the
LMG group 85% said they would recommend this procedure to another
patient (p > 0.05). Conclusions: BMG and LMG dorsal onlay
urethroplasty provide similar success and satisfaction rates.
Compared to LM, BM associated with a significantly higher morbidity
at the donor site. |
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