PMID- 26915837
OWN - NLM
STAT- MEDLINE
DCOM- 20161021
LR  - 20161230
IS  - 1873-2623 (Electronic)
IS  - 0041-1345 (Linking)
VI  - 48
IP  - 1
DP  - 2016 Jan-Feb
TI  - Buccal Mucosal Graft Urethroplasty in Patients Awaiting Renal Transplantation.
PG  - 21-5
LID - 10.1016/j.transproceed.2015.12.012 [doi]
LID - S0041-1345(15)01188-4 [pii]
AB  - OBJECTIVE: To assess the perioperative morbidity and early outcome of buccal
      mucosal graft (BMG) urethroplasty in patients with urethral stricture awaiting
      renal transplantation. METHODS: Thirteen patients awaiting renal transplantation 
      underwent BMG urethroplasty for long anterior urethral stricture between June
      2011 and March 2013. The management issues, complications, and outcome of the BMG
      urethroplasty in this cohort of patients were studied. RESULTS: Mean age of the
      patient was 38.7 +/- 12.7 years. History of urethral manipulation was present in 
      8 patients. Mean stricture length was 6.92 +/- 2.90 cm. Mean serum creatinine of 
      the patient was 8.1 +/- 3.6 mg%. Three patients required oral exploration for
      bleeding. Two patients had urinary extravasation, 3 patients had infected
      hematoma, and 1 patient developed dry gangrene of the glans. One patient had
      sepsis due to pyonephrosis in the postoperative period and succumbed to it. Mean 
      follow-up of the patients was 34.54 +/- 6.46 months. Three patients underwent VIU
      for recurrence of the stricture in the follow-up. At 3-month follow-up mean Qmax 
      was 23.8 mL/sec, whereas at 6-month and 1-year follow-up, Qmax was 23.6 and 23.4 
      mL/sec, respectively. CONCLUSION: This study shows a relatively higher
      complication rate of urethroplasty in prerenal transplant patients. Although the 
      number of cases is too small to arrive at any definite conclusion, this study
      does gives an insight into the management issues, complications, and success of
      urethroplasty in this group of patients.
CI  - Copyright (c) 2016. Published by Elsevier Inc.
FAU - Pal, B C
AU  - Pal BC
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India. Electronic address: bipjip@gmail.com.
FAU - Modi, P R
AU  - Modi PR
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Modi, J D
AU  - Modi JD
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Nagarajan, R
AU  - Nagarajan R
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Kumar, S
AU  - Kumar S
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Patel, K
AU  - Patel K
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Saifee, Y
AU  - Saifee Y
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Sarmah, A
AU  - Sarmah A
AD  - Department of Urology and Transplantation Surgery, Institute of Kidney Diseases
      and Research Centre and Institute of Transplantation Sciences, Ahmedabad,
      Gujarat, India.
FAU - Trivedi, H L
AU  - Trivedi HL
AD  - Department of Nephrology and Transplantation Medicine, Institute of Kidney
      Diseases and Research Centre and Institute of Transplantation Sciences,
      Ahmedabad, Gujarat, India.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Transplant Proc
JT  - Transplantation proceedings
JID - 0243532
SB  - IM
MH  - Adult
MH  - Humans
MH  - Kidney Transplantation
MH  - Male
MH  - Middle Aged
MH  - Mouth Mucosa/*transplantation
MH  - Postoperative Period
MH  - Reconstructive Surgical Procedures/*methods
MH  - Treatment Outcome
MH  - Urethra/surgery
MH  - Urethral Stricture/*surgery
MH  - Urologic Surgical Procedures, Male/*methods
MH  - Waiting Lists
EDAT- 2016/02/27 06:00
MHDA- 2016/10/22 06:00
CRDT- 2016/02/27 06:00
PHST- 2015/08/27 00:00 [received]
PHST- 2015/11/13 00:00 [revised]
PHST- 2015/12/07 00:00 [accepted]
PHST- 2016/02/27 06:00 [entrez]
PHST- 2016/02/27 06:00 [pubmed]
PHST- 2016/10/22 06:00 [medline]
AID - S0041-1345(15)01188-4 [pii]
AID - 10.1016/j.transproceed.2015.12.012 [doi]
PST - ppublish
SO  - Transplant Proc. 2016 Jan-Feb;48(1):21-5. doi:
      10.1016/j.transproceed.2015.12.012.