Mp06-18 Single Extra-Long Oral Mucosal Graft (Mega Graft) for Pan-Urethroplasty: A New Surgical Technique

You have accessJournal of UrologyReconstruction: Urethral Reconstruction (including stricture) I (MP06)1 May 2024MP06-18 SINGLE EXTRA-LONG ORAL MUCOSAL GRAFT (MEGA GRAFT) FOR PAN-URETHROPLASTY: A NEW SURGICAL TECHNIQUE Mohamed Nafie Mohamed NafieMohamed Nafie View All Author Informationhttps://doi.org/10.1097/01.JU.0001009452.79331.fd.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We assess the feasibility of our new technique of harvesting single extra-long oral mucosa graft in cases of pan anterior urethroplasty instead of using multiple grafts, to avoid graft to graft anastomotic stricture. We extend the graft from the anterior tonsillar pillar of one side to the upper lip and the anterior tonsillar pilar of the other side in the form of omega shape METHODS: prospective study of 14 patients with pan anterior urethral strictures in whom we harvested the mega graft were included in this study. We assess donor site morbidities during the 1st week post operative for early complications and at 1 and 3 month post surgical for late donor site complications. RESULTS: The Mean harvested graft length was 16 cm (12 -21), width 1.3 cm (1.2 -1.9). The Mean harvesting time was 29 mins (25-42): The early postoperative donor site comorbidities: pain presented in all patients with median duration of pain relieving was 4 days . Late graft site complications: 4 patients had slight oral pain and numbness at 1 month and disappear totally at 3 months, 2 patients complained of reduce oral cavity at 3 month but can tolerate it, 1 patient had slight eversion of upper lip vermilion. All patients (n=14) recommended this technique to other patients in the questionnaire. CONCLUSIONS: The single extralong oral mucosal graft is a safe and feasible procedure without significant donor site comorbidities. Download PPTDownload PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e59 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Mohamed Nafie More articles by this author Expand All Advertisement PDF downloadLoading ...