Abstract
Objective cases which were apparent by one and three
To present our experience with buccal mucosa on- months postoperatively. The first one had severe
lay graft for the treatment of anterior urethral proximal and distal urethral strictures which
stricture and recurrent urethra-cutaneous fistula ultimately required a proximal urethrostomy. The
after hypospadias repair in children. second one had a mild stenosis which required
Patients and Methods two meatal dilatations and at last a meatoplasty.
From October 2004 to March 2007, we operated The third one had a small fistula which was simply
upon eleven male patients with age range from 3- closed later. One patient developed a
12 years. Free buccal mucosal on-lay grafts from hypertrophied scar at the harvest site which
the internal part of the lower lip were taken for resolved over a period of three months.
three cases of complicated anterior urethral Conclusion
stricture and for eight cases of recurrent urethra- Complex hypospadias surgery is taxing and
cutaneous fistula after earlier numerous penile should be done by at experienced pediatric
hypospadias repairs. Eleven on-lay free grafts centers. Utilizing the buccal mucosa in case of
were ventrally positioned on the penile urethra. deficient genital skin is an efficient, handy and
The grafts extent ranged from 0.5 to 6 secure skill of managing the crippled cases that
centimeters. The follow rangedfrom 2 to 5 years. need redo surgery. (Rawal Med J 2012;37:282-
Results 284).
The achievement was perfect in 8 out of 11(73%) Keywords
patients. Urethral complications occurred in three Hypospadias, buccal, on-lay graft.
