Urethroplasty with Oral Mucosa Grafts in Stages
DOI:
https://doi.org/10.54212/27068048.v9i1.16Keywords:
urethral stricture, complications, urethroplasty in stagesAbstract
Introduction: Urethral stricture is one of the main causes of obstructive symptoms in men with significant impact on their lives because of its multiple complications. Urethroplasty with oral mucosa grafts in stages has become a therapeutic option for complex anterior urethral stricture. Objective: To describe the results of urethroplasty with oral mucosa grafts in stages for complex anterior urethral stricture. Methodology: A descriptive, retrospective study of 12 male patients with complex anterior urethral stricture was carried out in the Service of Urology at the “Hermanos Ameijeiras” Hospital of Cuba, between 2016 and 2020. Results: The average age of the series was 41.7 years. Previous history of hypospadias, pendulum-bulbar location and stricture between 6.1 and 7 cm prevailed. 91.6% had more than one previous failed treatment, and severe urethral stenosis (7.8). Re-stenosis prevailed (33.3%) which was resolved in two patients, 83.3% successfully. A high percentage of the patients reported that their quality of life was improved as well as being satisfied with the results of the surgery when the second stage was completed. Conclusions: Urethroplasty with oral mucosa grafts in two stages is a therapeutic option to be considered for complex anterior urethral stricture given its satisfactory results
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