Single-center experience on complications of buccal mucosal graft substitution in anterior urethroplasty.

OBJECTIVE

Buccal mucosal graft urethroplasty as a treatment for anterior urethral stricture is a method of choice nowadays in many cases. The Purpose of this study is to evaluate the complications of this technique.

METHODS

The study was initiated on July 2021 to July 2024, as a retrospective recording of the data of 120 patients underwent buccal mucosal graft substitution urethroplasty for anterior urethral stricture ⩾ 8 cm, age range 18-80 years. The mean duration of follow-up was 12 months for all patients. Postoperative complications were recorded. Data was analyzed by the use of SPSS version 26 program for data entry and analysis.

RESULTS

The mean age was 45.5 ± 15.7 years old. Body mass index 28.3 ± 4.2 kg/m2. Six cases were diabetic, 15 cases were hypertensive. Etiology of stricture was 55% iatrogenic trauma, 17.5% inflammatory, 17.5% lichen sclerosus and 4% idiopathic stricture. Operative time was 210 ± 25.6 min. Early complications were noticed in 15% of cases, Late complications-after removal of the catheter- in 25% of cases, the rest of cases passes with good voiding and sexual functions.

CONCLUSION

Buccal mucosal graft substitution urethroplasty as a treatment for long anterior urethral stricture is a good option, but as any other surgery it has its special complications.