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Dorsal onlay ( B arbagli technique) versus dorsal inlay ( A sopa technique) buccal mucosal graft urethroplasty for anterior urethral stricture: A prospective randomized study
Author(s) -
Aldaqadossi Hussein,
El Gamal Samir,
ElNadey Mohamed,
El Gamal Osama,
Radwan Mohamed,
Gaber Mohamed
Publication year - 2014
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12235
Subject(s) - urethroplasty , inlay , medicine , dorsum , buccal administration , urethral stricture , surgery , urology , urethra , dentistry , anatomy
Objective To compare both the dorsal onlay technique of B arbagli and the dorsal inlay technique of A sopa for the management of long anterior urethral stricture. Methods From J anuary 2010 to M ay 2012, a total of 47 patients with long anterior urethral strictures were randomized into two groups. The first group included 25 patients who were managed by dorsal onlay buccal mucosal graft urethroplasty. The second group included 22 patients who were managed by dorsal inlay buccal mucosal graft urethroplasty. Different clinical parameters, postoperative complications and success rates were compared between both groups. Results The overall success rate in the dorsal onlay group was 88%, whereas in the dorsal inlay group the success rate was 86.4% during the follow‐up period. The mean operative time was significantly longer in the dorsal onlay urethroplasty group (205 ± 19.63 min) than in the dorsal inlay urethroplasty group (128 ± 4.9 min, P ‐value <0.0001). The average blood loss was significantly higher in the dorsal onlay urethroplasty group (228 ± 5.32 mL) than in the dorsal inlay urethroplasty group (105 ± 12.05 mL, P ‐value <0.0001). Conclusions The dorsal onlay technique of B arbagli and the dorsal inlay technique of A sopa buccal mucosal graft urethroplasty provide similar success rates. The Asopa technique is easy to carry out, provides shorter operative time and less blood loss, and it is associated with fewer complications for anterior urethral stricture repair.