Urethral Stricture - Springer Nature

Erectile and voiding function outcomes after buccal mucosa graft urethroplasty for long-segment bulbar urethral stricture: ventral versus dorsal onlay technique

Purpose: Objectives: To assess the effect of dorsal versus ventral onlay buccal mucosa urethroplasty on postoperative erectile function status, see a graft bulbar urethroplasty. Methods and methods We retrospectively reviewed the records of 232 patients who underwent dorsal and ventral onlay buccal mucosa graft bulbar urethroplasty from March 2012 to April 2021. Outcomes were determined by the IIEF5-15 score at preoperative, three months, and 12 months post-urethroplasty. At the different follow-up visits, we compared the dorsal and ventral only techniques using difference-in-differences analysis. After a mean follow-up of 52. 3 u00b1 18. 5 months, 165 patients met our inclusion criteria; the overall success rate was 87. 9%. After three months and twelve months, respectively, there was no significant difference between both methods regarding postoperative erectile function as assessed by IIEF5-15 score. Conclusions Onlay Buccal mucosa graft urethroplasty is a very safe procedure for treating long-segment bulbar urethral tighture.

Source link: https://doi.org/10.1007/s00345-022-04220-y

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