Buccal Mucosal Graft, Joshi's Step, Obliterated Bulbar Urethral Stricture, Urethroplasty
Conditions
Brief summary
This study aims to evaluate the functional and surgical outcome of Joshi's step with buccal graft urethroplasty for the management of nearly obliterated bulbar urethral stricture.
Detailed description
Urethroplasty is a rapidly evolving art that continually improves and reinvents itself. After a century of silence, during which the anastomotic repair was the only solution for approaching the strictured urethra, the 1990s can be considered the Renaissance period for reconstructive urology. In 2022, Joshi and Kulkarni introduced a new step to the augmented urethroplasty, particularly in patients with extremely narrow strictures where a single augmentation was insufficient. They avoid any resection of the residual native urethral plate, marking the narrowest portion. Then, the edges of the mucosa are reapproximated with interrupted suturing in a proper non-resecting approach.
Interventions
PROCEDUREJoshi's step
Patients will undergo dorsal onlay buccal mucosal graft urethroplasty with Joshi's step
Sponsors
Tanta University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with primary bulbar urethral stricture. * Patients with non-traumatic bulbar urethral stricture. * Patients with nearly obliterated bulbar urethral stricture, with the narrowest portion of the stricture is less than 1.5 cm in length.
Exclusion criteria
* Patients with traumatic bulbar urethral stricture. * Patients with redo bulbar urethral stricture. * Patients with obliterated bulbar urethral stricture. * Patients with nearly obliterated long bulbar urethral stricture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate | 6 months postoperatively | Incidence of success rate will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Urine flow rate | 6 months postoperatively | Urine flow rate will be recorded. |
| The urethral lumen | 6 months postoperatively | The urethral lumen by ascending urethrogram will be recorded. |
Countries
Egypt
Contacts
Primary ContactMohamed I Elmaadawy, MD
Outcome results
None listed