PROSPECTIVE COMPARATIVE STUDY ON OUTCOMES OF VENTRAL ONLAY BUCCAL MUCOSAL GRAFT URETHROPLASTY WITH OR WITHOUT FIBRIN GLUE.

Abstract

Objectives: We described the use of brin glue in ventral onlay Buccal Mucosal Graft Urethroplasty (BMGU) in patients of bulbar urethral stricture and compared the outcome without brin glue. Methods: Sixty patients underwent bulbar urethroplasty with ventral onlay buccal mucosal graft and were included in this study. They were divided into 2 groups with 30 in each with group 1 with brin glue and group 2 without brin glue. The urethra was mobilized from the corpora cavernosa and opened along its ventral surface. The buccal mucosal graft was applied in the standard ventral onlay technique. Intraoperative evaluation included the lengths of surgery, stricture, and admission. Patients were followed up at 3 and 6 months in the outpatient department and primary outcome measures, that is, IPSS and Qmax were recorded at each follow-up along with complications if any. Results: No signicant difference was observed in mean lengths of surgery, stricture and admission, and distribution of pre-op IPSS and Qmax between the two groups. While a signicant difference was observed in distribution of IPSS and Qmax between the two groups at 3 months and 6 months follow-up. Distribution of early complications was observed at 3 weeks follow-up after surgery with a peri catheter RGU in both groups. 3 patients were presented with a leak in group 1 and 4 patients in group 2. At 3 months 2 patients were showing complications while at 6 months follow-up only 1 patient was showing complications in each group. Conclusions: The use of brin glue represents a slight but signicant step toward the perfection of the surgical technique of bulbar urethral reconstruction.