Ventral-Onlay Buccal Mucosal Graft Urethroplasty of a Perineal Fistula in a 26-Year-Old Patient With 46 XX Male Syndrome: A Case Report

Author:

Hosseini Jalil1,Zamani Hajiabadi Arshia2ORCID,Mirjalili Ali Mohammad13

Affiliation:

1. Men’s Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences and Shahid Beheshti University, Tehran, Iran

2. Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran

3. Reconstructive Urologist, Yazd Urology Department, Men’s Health, and Reproductive Health Research Center, Yazd, Iran

Abstract

Substitution urethroplasty with either a flap or graft is the gold standard for treating long segment urethral strictures. In 1992, Burger and colleagues rediscovered and popularized buccal mucosal graft (BMG). After that El-Kassaby and colleagues, in 1993, used BMG to repair anterior urethral stricture. De la Chapelle syndrome or 46 XX male syndrome is a rare genetic disorder found in 1 in 20,000–25,000 men. This condition described as a presentation of male phenotype along a 46 xx karyotype. In this case report, we report a reconstructive surgery of a 46 XX male syndrome with ambiguous genitalia who presented with the chief complaint of bulbar urethral fistula opened in the perineal space. In this case, we used a buccal mucous graft with the ventral-onlay urethroplasty technique for reconstructing the failed bulbar urethra and closure of the fistula.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Health (social science)

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