Buccal mucosal graft urethroplasty for anterior urethral stricture, Experience from a low-income country
| Autor: | Musab Abdalla Ahmed, Mohamed Daffalla-Awadalla, Mohammed Elemam, Sami Mahjoub Taha, Yassin M Osman |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Low income Urethroplasty medicine.medical_specialty Urologic Surgical Procedures Male Anterior Urethral Stricture Urology medicine.medical_treatment Sudan Young Adult Urine retention Urethra medicine Humans Prospective Studies Poverty Buccal mucosal graft urethroplasty Urethral Stricture business.industry Research Mouth Mucosa General Medicine Buccal administration Middle Aged Diseases of the genitourinary system. Urology Anterior urethral stricture Surgery Reproductive Medicine Mucosal graft RC870-923 business |
| Zdroj: | BMC Urology BMC Urology, Vol 21, Iss 1, Pp 1-7 (2021) |
| DOI: | 10.21203/rs.3.rs-470666/v1 |
| Popis: | Background/purpose This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context. Methods This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019. Results The total number of involved patients was 60. The success rate was found to be 90% (n = 54), while 6 (10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50 (83.3%) and 2 (3.3%) patients, respectively. late complications occurred as follows 14 (23.3%) patients had UTI, 12 (20%) had wound infections, 8 (13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6 (10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG). Conclusion Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%). |
| Databáze: | OpenAIRE |
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