Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1 (5-Year IF – 2.0)
Journal Citation Indicator (JCI) (2023) – 0.4
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Index Copernicus  – 161.11; MNiSW – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2015, vol. 24, nr 2, March-April, p. 297–300

doi: 10.17219/acem/40469

Publication type: original article

Language: English

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Dorsal Onlay Buccal Mucosal Graft Urethroplasty in the Treatment of Urethral Strictures – Does the Stricture Length Affect Success?

Fatih Yalcinkaya1,A,B, Kursad Zengin2,C,D, Nurettin Sertcelik1,F, Orhan Yigitbasi1,E, Halil Bozkurt3,B,C, Tevfik Sarikaya4,D, Raif Karabacak1,B,D

1 Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Urology Clinic, Ankara, Turkey

2 Department of Urology, Faculty of Medicine, Bozok University, Yozgat, Turkey

3 Department of Urology, Karaman State Hospital, Karaman, Turkey

4 Department of Urology, Sivas Numune Hospital, Sivas, Turkey

Abstract

Background. Treatment of urethral strictures can be challenging, but, with appropriate preoperative evaluation and surgical planning it is possible to achieve successful results.
Objectives. To analyze if the stricture length affects the success with dorsal onlay buccal mucosal graft urethroplasty technique.
Material and Methods. Between January 2004 and June 2010 a total of 40 patients with anterior urethral stricture were treated with dorsal onlay buccal mucosal graft urethroplasty. Age, etiology of the stricture, stricture length (≤ 7 cm, and > 7 cm), and localization of the stricture were assessed as the factors affecting success rate.
Results. The clinical outcome was defined as a failure when any operative instrumentation including dilatation was needed or the urine flow rate was less than 14 mL per second at the sixth month, postoperatively. The mean follow-up period was 43.44 months. Of 40 patients, 28 (70%) were successful and 12 (30%) were a failure. There was no statistically significant difference between the age groups, etiology of the stricture and success rate (p = 0.26 and p = 0.41). The statistical difference was significant for the localization and length of the stricture by means of success (p = 0.002 and p = 0.025).
Conclusion. Our results show that the stricture length and localization are the most important variables for desirable success. Even though surgical techniques are constantly evolving, long strictures stay as a problem for urologists. Studies with larger number of patients with long urethral strictures may support our findings, and may prove the efficiency of these surgical techniques.

Key words

buccal mucosa, urethral stricture, urethroplasty.

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