Outcomes of Dorsal and Ventral Buccal Graft Urethroplasty at a Tertiary Hospital in Uganda
Table 1
Clinical characteristics and study outcomes of buccal graft urethroplasty.
Variables
Dorsal
Ventral
Age (years)
Mean
55
54
Range
12–84
10–86
Mean operating time
2 hours
2 hours
Average length of hospital stay
5 days
5 days
Stricture length (cm)
Mean
4.5
4.0
Stricture site
Bulbar
Bulbar††
Outcomes
Immediate passage of urine
40
32
Recurrence of stricture
8
5
Follow-up events
Filiform bougienage
4
2
Repeated urethroplasty*
4
3
Urethrocutaneous fistula
Nil
Nil
**Erectile dysfunction
Nil
Nil
Postvoid residual urine volume
Not taken
Not taken
Urinary flow rate
Not done
Not done
Donor site complication—Numbness, tightness (Buccal site)
Nil
Nil
Perineal infection
1
2
Characteristics of failures
Mean age
59
64†
Range
30–80
32–70
With good outcomes (patients passing urine normally during the follow-up period). ED questions were posed to those for whom it was appropriate (i.e., had a sexual partner). One outlier excluded a 10-year-old with a midpenile stricture. With the exception of one pendulous urethral stricture.
