Buccal mucosa urethroplasty is a current fashion in urethral stricture management. In our university centre (Hospital de Clínicas de Porto Alegre) is a common surgical treatment choice. This paper aims to evaluate the success rate of this treatment after randomized choice between labial and jugal (inner cheek) grafts during the past two years.
Free dorsal graft urethroplasty, first described by Barbagli et al, has been shown better results than ventral grafts. Fixed grafts on the corpora cavernosa results in a better mechanical support and vascular supply, with less chance to complications such as pseudodiverticula and sacculations either a better urethral phisiology. This study aims to evaluate the current surgical management in our centre: buccal mucosa graft urethroplasty with jugal or labial replacement, comparing their group success rate and complications between the groups in patients led to surgery from October 2016 to June 2018. Prospective analysis from urethral stricture surgical HCPA patient data by dorsal buccal mucosa graft urethroplasty. The graft choice were done by a software. Longer stricture with transoperative need for the two grafts use were excluded. Success rate were measured with a no stricture de novo or absence of complications in a six month interval.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
77
As replacement of the damaged urethral tissue, we used a buccal mucosa graft (labial graft).
As replacement of the damaged urethral tissue, we used a buccal mucosa graft(inner cheek - jugal graft).
Overall Success Rate
Absence of surgical intervention after prior surgery
Time frame: 6 months
Labial Group Success Rate
Absence of surgical intervention after prior surgery on patients who received a labial graft.
Time frame: 6 months
Jugal Group Success Rate
Absence of surgical intervention after prior surgery on patients who received a inner cheek graft.
Time frame: 6 months
Latex Catheter Success Rate
Absence of surgical intervention on patients who used a latex catheter indwelling after prior surgery.
Time frame: 6 months
Silicon Catheter Success Rate
Absence of surgical intervention on patients who used a silicon catheter indwelling after prior surgery.
Time frame: 6 months
Stricture Etiology
Evaluation of the etiology of the stricture (trauma, other, infectious) on patients included on Labial and Jugal Groups
Time frame: 24 months
Stricture Localization
Evaluation of the stricture localization (penile, bulbar/bulbomembranous or combined) on patients included on Labial and Jugal Groups
Time frame: 24 months
Stricture Size
Evaluation of the stricture length (cm) on patients included on Labial and Jugal Groups
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 24 months
Demographic Data
Evaluation of the demographic data relationship with the results (age, cystotomy, cystostomy time, tobacco use, diabetes, balanitis xerotica, UTI infection, serum creatin levels) included on Labial and Jugal groups
Time frame: 24 months