Treatment of urethral strictures in balanitis xerotica obliterans (BXO) using circular buccal mucosal meatoplasy: Experience of 15 cases

  • Abdulmuttalip Simsek | simsek76@yahoo.com Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology Istanbul, Turkey.
  • Sinasi Yavuz Onol Bezmi Alem Vakıf University, Department of Urology, Istanbul, Turkey.
  • Omer Kurt Bayrampasa State Hospital, Department of Urology, Istanbul, Turkey.

Abstract

Objectives: Balanitis xerotica obliterans (BXO) related strictures involving the external urethral meatus. We reviewed our result with the use of circular mucosal graft in the reconstruction of strictures. Methods: Between March 1997 and January 2012, 15 patients underwent circular buccal mucosal urethroplasy for BXO related anterior urethral strictures. Urethral catheter was removed within 2 weeks. Follow-up included patient symptoms assessment, cosmetic outcome and uroflowmetry. Results: Median follow-up was 20.5 months (range 4 to 96). Mean postoperative peak urinary flow rate obtained 1 month after catheter removal was 22.4 ml per second. All patients had a normal meatus and none had recurrent stricture, chordee or erectile dysfunction. A functional and cosmetic outcome was achieved in 100% of the patients. Conclusions: Circular mucosal graft technique for treatment of meatal strictures is an efficient method for the restoration of a functional and cosmetic penis.

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Published
2014-03-28
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Issue
Section
Original Papers - Andrology
Keywords:
Buccal mucosa, BXO, Urethral stricture, Meatoplasty
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How to Cite
Simsek, A., Onol, S., & Kurt, O. (2014). Treatment of urethral strictures in balanitis xerotica obliterans (BXO) using circular buccal mucosal meatoplasy: Experience of 15 cases. Archivio Italiano Di Urologia E Andrologia, 86(1), 23-25. https://doi.org/10.4081/aiua.2014.1.23