E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Donor site complications of oral mucosa graft urethroplasty

Ngwobia Peter Agwu, Ismaila Arzika Mungadi.

Abstract
Background: The use of oral mucosa grafts in urethroplasty involves transplantation of non-keratinized oral mucosa for the repair of urethral strictures. In the last two decades this has emerged as the most widely used substitute tissue in urethral reconstruction. Harvesting of oral mucosal grafts for urethroplasty, however, has certain complications.
Objective:
This study evaluated the donor site complications associated with oral mucosa graft harvest for anterior urethral reconstruction for stricture.
Materials and Patients:
This prospective study of 28 consecutive patients presented at the Urology Unit of a University Teaching Hospital with long-segment urethral stricture and underwent oral mucosa graft harvest and substitution urethroplasty. The donor sites were evaluated at 48 hours, at discharge, 1 month and 3 months postoperatively for complications.
Results:
The patients' mean age in this study was 45.4 (+ 13.2) years with a range of 14-69 years. The mean length of graft was 5.25cm (+ 2.00), range of 1.5cm -11.0 cm. The location of strictures was bulbar urethra in 14 (50%), in 12 (43%), it was present in the penobulbar and 2 (7%) penile urethra. Graft donor sites were buccal in 25 (89.3%) in 2 (7.0%), buccal and labial and in 1 patient (3.5%) was lingual. Donor site complications included pain (32%), bleeding (14%) and peri-oral numbness (3.5%). All were able to eat and drink within 48hrs post-operatively and donor site complications resolved at discharge, and there were no events at follow-up.
Conclusion:
Harvesting of oral mucosa graft for substitution urethroplasty is safe, but maybe. associated with minimal short- term donor site complications

Key words: oral mucosa, graft, harvest, donor site, complications


 
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How to Cite this Article
Pubmed Style

Agwu NP, Mungadi IA. Donor site complications of oral mucosa graft urethroplasty. Int J Surg Med. 2021; 7(1): 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY


Web Style

Agwu NP, Mungadi IA. Donor site complications of oral mucosa graft urethroplasty. http://www.ejos.org/?mno=111773 [Access: March 03, 2021]. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY


AMA (American Medical Association) Style

Agwu NP, Mungadi IA. Donor site complications of oral mucosa graft urethroplasty. Int J Surg Med. 2021; 7(1): 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



Vancouver/ICMJE Style

Agwu NP, Mungadi IA. Donor site complications of oral mucosa graft urethroplasty. Int J Surg Med. (2021), [cited March 03, 2021]; 7(1): 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



Harvard Style

Agwu, N. P. & Mungadi, . I. A. (2021) Donor site complications of oral mucosa graft urethroplasty. Int J Surg Med, 7 (1), 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



Turabian Style

Agwu, Ngwobia Peter, and Ismaila Arzika Mungadi. 2021. Donor site complications of oral mucosa graft urethroplasty. International Journal of Surgery and Medicine, 7 (1), 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



Chicago Style

Agwu, Ngwobia Peter, and Ismaila Arzika Mungadi. "Donor site complications of oral mucosa graft urethroplasty." International Journal of Surgery and Medicine 7 (2021), 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



MLA (The Modern Language Association) Style

Agwu, Ngwobia Peter, and Ismaila Arzika Mungadi. "Donor site complications of oral mucosa graft urethroplasty." International Journal of Surgery and Medicine 7.1 (2021), 38-43. Print. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY



APA (American Psychological Association) Style

Agwu, N. P. & Mungadi, . I. A. (2021) Donor site complications of oral mucosa graft urethroplasty. International Journal of Surgery and Medicine, 7 (1), 38-43. doi:10.5455/ijsm.ORAL-MUCOSA-GRAFT-URETHROLPASTY