Abstract

TO CLOSE OR NOT TO CLOSE? DONOR SITE MORBIDITY AFTER BUCCAL MUCOSAL GRAFT HARVESTING

*Prof. S. Joseph Philipraj, Dr. Deepak and Dr. Vishal Shet

ABSTRACT

Urethral Stricture disease is a chronic debilitating disease. Various tissues have been used as Replacement/substitution for Urethra. Amongst these tissues Buccal mucosa is a good substitute for urethral reconstruction. Buccal Mucosa is easy to harvest due to easy access and gives a concealed scar after harvesting. The use of Buccal Mucosa for urethral surgery and its success is attributable to the biologic property of the Buccal Mucosa. However there are few complications of Buccal mucosa graft(BMG) harvesting at the donor site like bleeding, oral swelling, oral numbness, difficulty in mouth opening. Various authors claim different results as far as the donor site morbidity is concerned depending on whether the donor site is closed or Not. Here in we present our Prospective study of donor site morbidity with both primary closing and left open site.

Keywords: Urethral stricture, Urethroplasty, Augementation/ Substitution, Buccal Mucosa, Donor site, Complications.