Ventral inlay buccal mucosal graft urethroplasty: A novel surgical technique for the management of urethral stricture disease.
10.4111/kju.2015.56.2.164
- Author:
Robert Caleb KOVELL
1
;
Ryan Patrick TERLECKI
Author Information
1. Department of Urology, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston Salem, NC, USA. rkovell@wakehealth.edu
- Publication Type:Case Reports
- Keywords:
Buccal mucosa;
Reconstructive surgical procedure;
Urethral stricture
- MeSH:
Cystoscopy/methods;
Humans;
Male;
Middle Aged;
Mouth Mucosa/*transplantation;
Urethra/surgery;
Urethral Stricture/diagnosis/*surgery;
Urologic Surgical Procedures, Male/methods
- From:Korean Journal of Urology
2015;56(2):164-167
- CountryRepublic of Korea
- Language:English
-
Abstract:
To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.
