Number №4, 2020 - page 120-125

The use of a buccal graft for urethroplasty of urethral strictures in men DOI: 10.29188/2222-8543-2020-13-4-120-125

For citation: Polyakov N.V., Keshishev N.G., Trofimchuk A.D., Abdulaev I.A., Kazachenko A.V., Chernyshev I.V., Darenkov S.P., Apolikhin O.I. The use of a buccal graft for urethroplasty of urethral strictures in men. Experimental and clinical urology 2020(4):120-125, https://doi.org/10.29188/2222-8543-2020-13-4-120-125
N.V. Polyakov, N.G. Keshishev, A.D. Trofimchuk, I.A. Abdulaev, A.V. Kazachenko, I.V. Chernyshev, S.P. Darenkov, O.I. Apolikhin
Information about authors:
  • Polyakov N.V. – PhD, head of the group of reconstructive urology of the department of general and reconstructive urology of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia
  • Keshishev N.G. – PhD, Leading Researcher of the group of reconstructive urology of the department of general and reconstructive urology, of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; oncologist of the urologic department of the Federal State Budgetary Institution of the Joint Hospital with the Clinic of the Presidential Administration of the Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-3726-4010
  • Trofimchuk A.D. – Clinical resident of the urologic department of «Central State Medical Academy» of the administrative department of the president of the Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-3677-5580
  • Abdulaev I.A. – postgraduate student of the second year of N.A. Lopatkin Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia
  • Kazachenko A.V. – Dr. Sc., deputy director for clinical work of N.A. Lopatkin Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-3198-5933
  • Chernyshev I.V. – Dr. Sc., professor, head of the urology department of the Federal State Budgetary Institution of the Joint Hospital with the Clinic of the Office of the President of the Russian Federation; Moscow, Russia
  • Darenkov S.P. – Dr. Sc., professor, head of the urological center of the clinical hospital of Federal State Budgetary Institution Office of the President of the Russian Federation; Moscow, Russia; https://orcid.org/0000-0002-3797-7160
  • Apolikhin O.I. – Dr. Sc, professor, сor.-member of RAS, director of N.A. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-0206-043X
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Introduction. The urethroplasty of the urethral stricture disease is still a severe problem for surgeons. The aim of this study is to evaluate own results of buccal mucosa graft urethroplasty (BMGU) for the treatment of urethral stricture.

Aim. Evaluation of own results of urethroplasty with a graft of the oral mucosa in the treatment of urethral strictures.

Materials and methods. Between 01.08.2014 and 01.06.2020 we treated 136 patients with urethral stricture at our Medical Centers, where we provided buccal mucosa graft urethroplasty for bulbar and penile urethra.

Results. The bulbar stricture was found among 105 patients of 136 (77,1 % cases), in which 64 had stricture in proximal part and 41 – in distal part of the urethra, 19 patients – in penile urethra and the other part had panurethral lesion. The median length of the stricture was measured as 3,8 ± 0,6 sm in the first three groups, and in the last group it was 10,4 ± 1,5 sm. At a median follow-up of 16,3 months 87,5% of patients in the first group, 90,2 % in the second, 84,2 % in the third and 83,3 % in the fourth group had no stricture recurrence and were satisfied with BMGU.

Conclusion. For patients with urethral stricture disease, BMGU offers excellent success, morbidity with different techniques and methods, which statistically are equal to each other.

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buccal graft, urethral stricture, buccal urethroplasty, replacement urethroplasty, urethral augmentation.

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