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SYMPOSIUM
Year : 2011  |  Volume : 27  |  Issue : 3  |  Page : 364-370

Buccal mucosa urethroplasty for adult urethral strictures


The Detroit Medical Center and the Michigan State University, College of Osteopathic Medicine, MI, USA

Correspondence Address:
Richard A Santucci
Detroit Medical Center, The Center for Urologic Reconstruction™, Michigan State College of Osteopathic Medicine, Harper Professional Building, Suite 1017, 4160 John R., Detroit, MI 48201
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.85441

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Urethral strictures are difficult to manage. Some treatment modalities for urethral strictures are fraught with high patient morbidity and stricture recurrence rates; however, an extremely useful tool in the armamentarium of the Reconstructive Urologist is buccal mucosal urethroplasty. We like buccal mucosa grafts because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use. We utilize it for most our bulbar urethral stricture repairs and some pendulous urethral stricture repairs, usually in conjunction with a first-stage Johanson repair. In this report, we discuss multiple surgical techniques for repair of urethral stricture disease. Diagnosis, evaluation of candidacy, surgical techniques, post-operative care, and complications are included. The goal is to raise awareness of buccal mucosa grafting for the management urethral stricture disease.


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