Dorsolateral Onlay Urethroplasty for the Long Segment Anterior Urethral Stricture: Outcome of 31 Cases

Authors

  • Hafiz Al asad Registrar, Dept. of Urology, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Md Sharif shahjamal Assistant Professor, Dept. of Urology, National Institute of Kidney Diseases and Urology, Dhaka, Bangladesh
  • Sarforaj Ali khan Assistant Professor, Dept. of Urology, National Institute of Kidney Diseases and Urology, Dhaka, Bangladesh
  • Md Waliul Islam Associate Professor, Dept. of Urology, National Institute of Kidney Diseases and Urology, Dhaka, Bangladesh
  • AKM Zamanul Islam Bhuiyan Assistant Professor, Dept. of Urology, National Institute of Kidney Diseases and Urology, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bju.v18i1.49203

Keywords:

Urethral stricture, Buccal mucosal graft (BMG), Retrograde urethrogram (RGU), Voiding cystourethrogram (VCUG), Optical internal urethrotomy (OIU).

Abstract

Objective: This study is designed to observe the short-term outcomes of dorsolateral onlay urethroplasty to treat long segment anterior urethral stricture.

Materials and Methods: A prospective study from May 2011 to September 2012 is carried out in department of Urology, National Institute of Kidney Diseases and Urology, Sher-EBanglanagar, Dhaka. Thirty one patients with long anterior urethral stricture were treated by a dorsolateral onlay buccal mucosa graft. After voiding trial, they were followed up at 3 weeks and 3 months with history, physical examination, uroflowmetry and retrograde urethrogram (RGU) if required (uroflowmetry <15 ml/sec). Patients were further followedup at 3 months interval with uroflowmetry and retrograde urethrogram (RGU) if required (uroflowmetry <15 ml/sec). Successful outcome was defined as normal voiding with no surgical intervention after catheter removal.

Results: Mean stricture length was 42.49±12.77 mm (range 24-70 mm) and mean follow up was 8 months (range 6 to 12 months). Three patients were found to develop stricture at anastomotic site, during follow-up and required optical internal urethrotomy and was considered as failure. One patient developed wound infection which resolved after regular dressing. Success rate was 90.32%.

Conclusion: Dorsolateral onlay BMG urethroplasty is feasible for long anterior urethral stricture with good short term surgical outcome.

Bangladesh Journal of Urology, Vol. 18, No. 1, Jan 2015 p.12-15

Downloads

Download data is not yet available.
Abstract
109
PDF
128

Downloads

Published

2020-09-17

How to Cite

asad, H. A., shahjamal, M. S., khan, S. A., Islam, M. W., & Bhuiyan, A. Z. I. (2020). Dorsolateral Onlay Urethroplasty for the Long Segment Anterior Urethral Stricture: Outcome of 31 Cases. Bangladesh Journal of Urology, 18(1), 12–15. https://doi.org/10.3329/bju.v18i1.49203

Issue

Section

Original Articles