Ces Urol 1999, 3(1):18-21

The use of bucal mucose in reconstruction of urethra

R. Kočvara^1,2, J. Dvořáček^1,3, J. Kříž¹

¹ Urologická klinika Všeobecné fakultní nemocnice a 1. lékařské fakulty UK v Praze

² Subkatedra dětské urologie IPVZ Praha

³ Katedra urologie IPVZ Praha

Free-graft surgery remains a significant option in urethral reconstruction. Recently, buccal mucosa proved to be the most favorable tissue for this purpose. In 1995-1998, this technique was employed in 10 patients with urethral stricture of different origin, which had been treated many times previously. Only the cheek buccal mucosa was used as an onlay graft, 30-80 mm long. The patch was mostly localised ventrally, in 2 patients dorsally. During medium 27 months of follow-up, 2 strictures appeared requesting a secondary procedure. One relative stricture requires an occasional dilatation. We recommend to use the buccal mucosa graft after repeated unsuccessful! operations of the urethral stricture, mostly in bulbar area, further after repeated unsuccessfull operations of hypospadias or epispadias when there is a shortage of local tissue.

Keywords: Buccal mucosa, Urethroplasty, Urethral stricture, Hypospadias

Published: January 1, 1999