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The outcomes of Kulkarni’s one-stage oral mucosa graft urethroplasty in patients with panurethral stricture: a single centre experience

  • Ali Ersin ZumrutbasEmail author
  • Yusuf Ozlulerden
  • Sinan Celen
  • Kursat Kucuker
  • Zafer Aybek
Original Article
  • 43 Downloads

Abstract

Purpose

To present the results of our one-stage oral mucosa graft urethroplasty series for panurethral strictures.

Methods

We included the first 35 patients who had one stage oral mucosa graft urethroplasty with one side dissection of the urethra which was described by Kulkarni, between January 2015 and June 2018 and had at least 6 months follow-up. From the first case, all data were recorded prospectively and patient age, etiology of the stricture, comorbidities, previous treatments, postoperative maximal flow rate, pre and post-operative erectile function, perioperative and postoperative complications and quality of life questionnaire for this study.

Results

The mean patient age was 58.8 and mean stricture length was 13.6 (10–16) cm. Patients had previously 1–17 procedures. Patients had a mean peak flow rate of 25.4 ml/sec at the first postoperative visit. During the follow-up period, six patients had recurrence and managed with urethral dilation (1), direct vision internal urethrotomy (2), meatoplasty (1) and re-urethroplasty (2). The responses to the questions about satisfaction from the surgery showed that 31 (88.6%) patients were satisfied with the surgery, 33 (94.3%) would prefer this procedure again, if needed, and 31 (88.6%) patients recommended this procedure to others. When patients were grouped according to age, recurrence rate was 35.7% in patients older than 65 years and 4.8% in patients ≤ 65 years old.

Conclusions

Our study showed that Kulkarni’s one-stage oral mucosa graft urethroplasty technique has a high success rate. The patient satisfaction is high because of the good functional outcomes and low complication rate.

Keywords

Urethral stricture Urethroplasty Buccal mucosa 

Notes

Author contributions

AEZ project development, data analysis, manuscript writing. YO project development, data collection, data analysis. SC project development, data collection. KK data collection, data analysis. ZA project development, manuscript editing.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statements

Informed consent was taken from all human participants included in this study.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of UrologyPamukkale University School of MedicineDenizliTurkey

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