The outcome of buccal mucosal graft anterior urethroplasty techniques in men with urethral stricture

Abstract

Abstract Using Direct Visualisation Internal Urethrotomy (DVIU) and surgical evacuation of the stricture using a reconstructive buccal mucosal graft, urethral stricture is a condition that can be treated. This research aims to assess the success rate and risk factors for complications following buccal mucosal graft (BMG) urethroplasty for anterior urethral stricture in patients referred to a high-volume referral centre. Method: Between 2012 and 2019, 130 patients who underwent various types of BMG urethroplasty under a retrospective research by our team. Patient demographics, stricture aetiology, and anatomy, as well as adverse stricture outcomes like issues, erectile dysfunction (ED) lasting longer than 12 months, and post-micturition dribbling (PMD), were shown in order to identify success rate, risk factors for recurrent stricture, complications, and failure in terms of stricture recurrence. Results: There were 130 patients in all. The overall number of recurring strictures was 15.3% (20 males), whereas the success rate was reported to be 84.6% (n = 110). An ED occurred in 11% (n = 14) and PMD in 14% (n = 18). All of the Ed was not organic and was given a PDE5 inhibitor orally. Twenty patients (15.3%) experienced postoperative problems. Urinary fistula (n = 4, 3.0%), graft contracture (n = 3, 2.3%), graft failure (n = 5, 3.8%), UTI (n = 4, 3.0%), and wound infection (n = 3, 2.3%) were the most common complications following penile urethroplasty. Age at surgery, aetiology, stricture length, and location were all significant variables for stricture recurrence in the univariate analysis. In the multivariate analysis, the penile location was the only significant independent variable for restricture. Conclusion: The remarkable results of BMG urethroplasty as a therapy for anterior urethral stricture with a success rate of 84.6% represent improvements in the quality of care in resource-constrained nations like Nepal.