Combined Non Transecting Anastomotic Urethroplasty with Buccal Mucosal Augmentation for the Management of Segmental Urethral Strictures – A Retrospective Study

Abstract

Background: Urethral strictures are one of the common problems encountered by the urologist and affect one in 10,000 males. The aetiology can be secondary to inammation, trauma or can be idiopathic. The time honoured management of strictures by dilatation was associated with high recurrence rates. Currently various techniques of urethroplasty are used in the management of strictures. We herein describe our early experience with a combined technique of non transecting urethroplasty with buccal mucosal augmentation for the management of segmental urethral strictures. Objective: To report our early experience for the treatment of segmental urethral strictures with combined non transecting anastomotic urethroplasty and buccal mucosal augmentation. Material and Methods: A total of three patients underwent non transecting anastomotic urethroplasty with buccal mucosal augmentation between January 2010 and December 2013 with a minimum follow up of one year. Results: At one year follow up all patients were free of obstructive symptoms and, none of the patients developed recurrence. No patient developed erectile dysfunction during the course of follow up. Conc lusion: Non tr ans e c ting ana stomoti c urethroplasty with buccal mucosal augmentation is a viable option for long segment strictures with diverticulum and segmental urethral strictures. This method helps in reducing the length of buccal graft required. Due to the non-transecting nature of the surgery, blood supply to urethra is maintained, there is good graft uptake and the incidence of erectile dysfunction is reduced

Keywords

• Non Transecting Urethroplasty
• Segmental Strictures
• Buccal Mucosal Graft Urethroplasty