Oral mucosa harvest for urologic reconstruction: role of maxillofacial surgeon and donor-site morbidity evaluation

J Craniofac Surg. 2014 Mar;25(2):604-6. doi: 10.1097/SCS.0000000000000687.

Abstract

Purpose: The aim of this study was to present retrospective analysis of our experience regarding complications associated with the donor site after oral mucosa harvest for urethral reconstruction.

Materials and methods: Between May 2010 and January 2013, a total of 18 patients with recurrent urethral strictures received a buccal mucosal graft for urethral reconstruction at the San Giovanni Battista Hospital, University of Turin, Turin. All operations were performed in a 2-team approach. All patients were retrospectively evaluated by clinical examination and using a questionnaire.

Results: Urethroplasty with oral mucosa graft was performed successfully in a 1-step procedure in 17 of 18 patients. No intraoperative complications were observed.The most common complication occurring at the buccal donor site was scarring and contracture (n = 3).

Conclusions: Oral mucosa graft for urethroplasty is a simple and safe method in the interdisciplinary treatment of urethral strictures. Donor-site morbidity measured by clinical assessment and questionnaire is tolerable.

MeSH terms

  • Adult
  • Cicatrix / etiology
  • Contracture / etiology
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Mouth Mucosa / surgery*
  • Mouth Mucosa / transplantation
  • Patient Care Team
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications
  • Recurrence
  • Retrospective Studies
  • Surgery, Oral
  • Surveys and Questionnaires
  • Tissue and Organ Harvesting / methods*
  • Transplant Donor Site / surgery*
  • Urethra / surgery
  • Urethral Stricture / surgery*
  • Urology