Medicina Fluminensis, Vol. 61 No. 2, 2025.
Case report, case study
https://doi.org/10.21860/medflum2025_330057
Buccal Mucosa Graft in Urethral Stricture Repair – A Case Report
Diego Demarin
orcid.org/0009-0003-5703-1940
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
*
Antun Gršković
orcid.org/0000-0002-4557-3879
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
* Corresponding author.
Abstract
Aim: To present the etiology and clinical manifestations of urethral strictures and emphasize the importance of early treatment using open surgical techniques, specifically with buccal mucosa grafts. Case Report: A 64-year-old patient was admitted to the Urology Clinic with a urethral stricture and suspected enterovesical fistula. Initially, an optical urethrotomy was performed using a cold knife to treat two semicircular short strictures in the bulbar part of the urethra. No vesical fistula was found upon bladder exploration. The patient underwent urethral dilation to prevent restenosis. After a year of regular urethral dilations, the patient began experiencing lower urinary tract symptoms again and was also treated with antibiotics for acute prostatitis. A second urethrotomy was performed due to recurrent strictures in the bulbar region of the urethra. Shortly after this operation, the patient again exhibited lower urinary tract symptoms. Cystoscopy confirmed a recurrent stricture, and the patient opted for urethroplasty using a buccal mucosa graft. Three months post-urethroplasty, urethroscopy showed a normal urethra, and the patient no longer experienced lower urinary tract symptoms. Conclusion: The gold standard in the treatment of urethral strictures is urethroplasty. Despite this, many patients still undergo less successful treatment techniques. This case report emphasizes the importance of timely open surgery to avoid complications associated with less effective treatment methods. Early referral of patients to urethroplasty as the optimal treatment option can significantly reduce the risk of unnecessary complications and provide a permanent solution to the problem of urethral strictures.
Keywords
lower urinary tract symptoms; mouth mucosa; transplantation; urethral stricture
Hrčak ID:
330057
URI
Publication date:
1.6.2025.
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