Application of augmented anastomotic urethroplasty with buccal graft in treatment of decompensated posttraumatic urethral stricture of bulbar urethra (case report)




urethral stricture, urethroplasty, buccal graft


Introduction: treat­ment of decompensated urethral stricture is a challengeable issue of modern operative urology. Presented case of successful operative treatment of complex stricture of bulbous urethra with combination of anastomotic technique and augmentation by buccal graft. Case presentation: 54-years old male admitted to urology clinic of National Military Medical Clinical Center for the decompensated bulbous urethra stricture, previously repeatedly treated by internal optical urethrotomies and dilatations. During examination, almost complete obliteration of 4 cm segment of urethra was detected. Augmented anastomotic urethro­plasty with application of buccal graft as substitution material was performed. After excision of obliterated and adjacent fibrous parts of urethra, end to end anastomosis on the ventral semicircle of urethra was performed with subsequent augmentation of defect on the dorsal wall by oral mucosa patch fixed to cavernous bodies. No recurrence observed after 5 months of observation. Augmented anastomotic urethroplasty is useful for treatment of complex posttraumatic strictures of bulbous urethra. Practicing urologists should know indications to all reconstructive treatment options and avoid repeated ineffective attempts of dilatations.


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