Overview
This study aims to compare the penile skin graft and buccal mucosal graft for substitution of long anterior urethral strictures using one-sided dorsal perineal approach.
Description
Since previous studies were:
- Retrospective and very few were prospective randomized studies
- Some studies were done on lichen sclerosis cases that have an adverse effect on the PSG outcome.
- The follow-up duration was longer for PSG patients.
- Stricture length was usually longer for PSG cases.
This study aims to compare the PSG and BMG for substitution of long anterior urethral strictures using one-sided dorsal perineal approach.
The investigators hypothesize that:
❶ Conducting a well-designed prospective, randomized study can help identify which technique is better than the other.
❷ Using the one-side dorsal approach can improve the outcomes of both techniques and identify their advantages and disadvantages.
Eligibility
Inclusion Criteria:
- The study will include patients with long segment anterior urethral stricture (>2 cm).
Exclusion Criteria:
- Urethro-cutaneous fistula, urethral abscess or diverticulum.
- A scarred and unsalvageable urethral plate or scarred perineum.
- Lichen sclerosis (Balanitis xerotica obliterans).
- Unhealthy/unavailable buccal mucosa.
