Abstract: PD60-06
Sources of Funding: None

Introduction

To compare the perioperative outcomes of double faced buccal mucosal graft (BMG) urethroplasty for near Obliterative inflammatory urethral stricture and to compare the results with historical controls that underwent one sided (dorsal/ventral) BMG urethroplasty for similar strictures.

Methods

Between August 2010 and October 2015, 255 patients who underwent BMG urethroplasty at our centre were retrospectively reviewed. Out of these 46 patients, who presented with near Obliterative urethral stricture of length more than 2 cm and underwent patch urethroplasty, using a dorsal plus a ventral, double BMG were included in this study. In addition 44 patients with similar urethral stricture who underwent one sided (dorsal/ventral) buccal graft urethroplasty were also included in the study for comparison of results. The patients were divided into two groups based on the operative technique; Group A with 46 patients, 24 patients Enzo Palminteri technique (dorsal inlay with ventral onlay) and 22 patients Joel Gelman technique (dorsal onlay with ventral inlay), and Group B with 44 patients, dorsal/ventral urethroplasty.

Results

With a mean follow up of 36 months (range 12 – 62 months) failure was found to be in 2 patients in Group A (success rate 95.6% and 100% after 1 urethrotomy) and 10 patients in Group B (success rate 77.2 %)

Conclusions

The result of this study showed that double phase BMG urethroplasty is successful for management of near Obliterative stricture. The result also showed an improved success rate and lesser complications in comparison with dorsal/ventral urethroplasty.

Funding

None