Use of a Dedicated Questionnaire to Assess Buccal Mucosal Graft Morbidity in Urethral Reconstruction
Published Date: 20th September 2024
Publication Authors: Rauf. A, Shkoukani. ZW, Omar. AM, Floyd Jr. MS
Introduction
Buccal mucosa grafts (BUMG) are used in urethral reconstruction. Although 1st described in 1894 it has only become popular since the early 90s. It easy to harvest with ideal graft properties. Potential complications associated with donor site harvest include oral numbness, delayed mouth opening and pain.
Methods
All urethral reconstruction patients undergoing grafting were assessed on day 10 post operatively. Mean graft size and specific urethral procedure were recorded. All followed a strict post operative donor site protocol. A dedicated questionnaire was used to assess post full mouth opening, post operative pain, resumption of diet and numbness.
Results
A total of 40 graft procedures were harvested by a single surgeon. Buccal mucosal grafts were taken in all cases. A total of 39 donor site were closed primarily. A total of 5 patients required bilateral BUMG harvests of which 2 were done as a single procedure. Operations recorded included 15 bulbar urethroplasties, 3 augmented graft urethrostomies, 17 staged graft urethroplasties, 3 asopa urethroplasties and 2 meatoplasties. Cumulative mean graft size was 3. 5 cm. Mean post operative full mouth opening was on day 2. Mean post operative pain score out of 10 was 0.4. All patients resumed full diet on the 1st post operative day. A total of 6 patients reported post operative numbness on day 10. When questioned all patients stated that they would undergo BUMG harvesting again.
Conclusions
BUMG harvesting is successfully undertaken in our unit with minimal morbidity during urethral reconstruction. Use of a questionnaire helps data capture post operatively.
Rauf, A; Shkoukani, Z; Omar, AM; Floyd Jr; MS. (2024). Use of a Dedicated Questionnaire to Assess Buccal Mucosal Graft Morbidity in Urethral Reconstruction. European Urology Open Science. 67(Supplement 2), pp.S36-S37. [Online]. Available at: https://doi.org/10.1016/j.euros.2024.07.078 [Accessed 2 October 2024].
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