Penile Skin Versus Buccal Mucosal Graft in Augmentation Urethroplasty for Long Anterior Urethral Stricture
Penile Skin Versus Buccal Mucosal Graft in Augmentation Urethroplasty for Long Anterior Urethral Stricture: A Prospective Randomized Study
Tanta University
80 participants
Jan 1, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this study is to analyze the outcomes of dorsal onlay buccal mucosal graft (BMG) and penile skin graft (PSG) urethroplasty in the management of long segment bulbar urethral stricture.
Eligibility
Inclusion Criteria2
- Patients with long segment anterior urethral stricture that was defined as a stricture with a length of more than 1 cm with spongiofibrosis.
- Patients with previous failed urethral dilatation or direct vision internal urethrotomy (DVIU)
Exclusion Criteria3
- Patients with lichen sclerosus
- Patients with history of hypospadias repair
- Patients with recurrent urethral stricture after failed previous urethroplasty
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Interventions
Urethroplasty using a buccal mucosal graft harvested from the inner cheek. The graft is dorsally onlaid to reconstruct the strictured urethral segment. The procedure is conducted under spinal or general anesthesia.
Urethroplasty using a penile skin graft harvested from the ventral surface of the penis. The graft is applied dorsally after excision of the fibrotic urethral segment. The surgery is performed under spinal or general anesthesia.
Locations(1)
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NCT07074717