Department of Surgery, Faculty of Medicine, University of Gezira, Wad Medani, Gezira State, Sudan.
Department of Urology, Gezira Hospital for Kidney Disease and Surgery, Wad Medani, Gezira State, Sudan.
BMC Urol. 2021 Dec 7;21(1):171. doi: 10.1186/s12894-021-00918-0.
BACKGROUND/PURPOSE: This study was conducted to present our experience in urethral mucosal graft urethroplasty to repair urethral stricture, as the first experience in our context.
This is a prospective hospital-based study that had been designed to review management outcomes of buccal mucosal graft urethroplasty for anterior urethral stricture from January 2017 to January 2019.
The total number of involved patients was 60. The success rate was found to be 90% (n = 54), while 6 (10%) had a recurrence of stricture. Pain and pain combined bleeding from internal suture lines were the only early complication encountered in 50 (83.3%) and 2 (3.3%) patients, respectively. late complications occurred as follows 14 (23.3%) patients had UTI, 12 (20%) had wound infections, 8 (13.3%) had changes in ejaculation, and decrease in intensity of orgasm, and 6 (10%) had erectile dysfunction. One of the long-term complications was graft diverticulum in one case and was treated conservatively (in ventral on lay BMG).
Improvement of the service in limited resources countries like Sudan and was reflected in the excellent outcome of BMG urethroplasty as treatment of anterior urethral stricture (success rate 90%).
背景/目的：本研究旨在报告我们在尿道黏膜移植尿道成形术中修复尿道狭窄的经验，这是我们在该领域的首次经验。
这是一项前瞻性的基于医院的研究，旨在回顾 2017 年 1 月至 2019 年 1 月期间颊黏膜移植尿道成形术治疗前尿道狭窄的管理结果。
共涉及 60 例患者。成功率为 90%（n=54），而 6 例（10%）出现狭窄复发。疼痛和内缝线出血是 50 例（83.3%）和 2 例（3.3%）患者仅遇到的早期并发症。晚期并发症如下：14 例（23.3%）患者发生尿路感染，12 例（20%）患者发生伤口感染，8 例（13.3%）患者出现射精改变和性高潮强度降低，6 例（10%）患者发生勃起功能障碍。一种长期并发症是一例移植物憩室，采用保守治疗（腹侧下置 BMG）。
在像苏丹这样资源有限的国家改善服务，反映在 BMG 尿道成形术治疗前尿道狭窄的出色结果（成功率 90%）中。
