Use of autologous buccal mucosal graft for urethral surgery in males.

OBJECTIVE

Description of our results with autologous buccal mucosa as a substitute for urethral epithelium in 8 patients with severe urethral strictures.

METHODS

Patients were selected according to the intrinsic complexity or due to recurrence following previous surgery. Buccal mucosa was harvested from the lower lip, and no suture was used to close the wound. A full thickness mucosal graft measuring up to 8 cm was excised.

RESULTS

The clinical results are satisfactory in 7 cases. No urethral fistulas were observed.

CONCLUSION

Buccal mucosa offers an excellent option for repair of complicated urethral strictures.