Urethral Stricture: A Comparison Between Jugal or Labial Graft Urethroplasty
Urethral Stricture: A Comparison Between Jugal or Labial Graft Urethroplasty
Buccal mucosa urethroplasty is a current fashion in urethral stricture management. In our
 university centre (Hospital de Clínicas de Porto Alegre) is a common surgical treatment
 choice. This paper aims to evaluate the success rate of this treatment after randomized
 choice between labial and jugal (inner cheek) grafts during the past two years.
Free dorsal graft urethroplasty, first described by Barbagli et al, has been shown better
 results than ventral grafts. Fixed grafts on the corpora cavernosa results in a better
 mechanical support and vascular supply, with less chance to complications such as
 pseudodiverticula and sacculations either a better urethral phisiology.

 This study aims to evaluate the current surgical management in our centre: buccal mucosa
 graft urethroplasty with jugal or labial replacement, comparing their group success rate and
 complications between the groups in patients led to surgery from October 2016 to June 2018.

 Prospective analysis from urethral stricture surgical HCPA patient data by dorsal buccal
 mucosa graft urethroplasty. The graft choice were done by a software. Longer stricture with
 transoperative need for the two grafts use were excluded. Success rate were measured with a
 no stricture de novo or absence of complications in a six month interval.
Inclusion Criteria:

 -  Urethral Stricture Diagnosis

 -  Indication for buccal mucosa graft urethroplasty

 -  Accept the Informed Consent Term (patient or responsible)

 Exclusion Criteria:

 -  Severe urethral stricture which a two-staged procedure are required

 -  Long strictures which need a both types of buccal mucosa graft due its length.

 -  Refuse to ICT for the patient ou it responsible