BUCCAL MUCOSAL GRAFT ONLAY TECHNIQUE FOR UPPER URETERIC AND UPJ STRICTURES

Abstract

Objective: In this paper we report our experience in the use of buccal mucosal grafts in the reconstruction of difficult upper ureteric and uretero-pelvic junction strictures. Material & Methods: We retrospectively looked at our hospital inpatient and outpatient records of all patients who underwent surgical treatment for benign upper ureteric strictures and ureteropelvic junction strictures. Results: During the study period a total of 22 patients with a mean age of 326.07 years underwent buccal mucosal graft repair. The mean length of the narrowing/stricture was 6.40 1.44 cm. Conclusion: Buccal mucosal onlay graft ureteroplasty is a suitable treatment option for long, complicated benign upper ureteric and select ureteropelvic junction stric­tures. It is technically simple and capable of providing optimum patency of ureter with good urinary drainage. It is safe and effective. Keywords: Buccal mucosa, ureteric stricture, ureteropelvic junction stricture, graft, ureteroplasty