Treatment of panurethral strictures using one side dissection dorsal onlay buccal mucosal graft urethroplasty

Gede Wirya Diptanala Putra Duarsa (General Practitioner, Faculty of Medicine, Udayana University)
Gede Wirya Kusuma Duarsa (Department of Urology, Faculty of Medicine, Udayana University, Sanglah General Academy Hospital Denpasar)
Ida Bagus Putra Pramana (Department of Urology, Faculty of Medicine, Udayana University, Udayana University Hospital)
Paksi Satyagraha (Department of Urology, Faculty of Medicine, Brawijaya University, Saiful Anwar General Hospital Malang, East Java)

Neurologico Spinale Medico Chirurgico
Vol 4 No 2 (2021)

The management of panurethral stricture was still challenging and controversial. We presented a case of pan urethral strictures management by using a one-sided dissection of dorsal onlay buccal mucosal graft (BMG) urethroplasty (Kulkarni technique). A 53-years old man admitted with panurethral stricture who had previously undergone several procedures. Bipolar micturition cystourethrography procedure revealed 17 cm stricture length. One-sided dissection dorsal onlay buccal mucosal graft urethroplasty was performed. No drain was placed. The Foley catheter was removed four weeks after surgery, and the results of the micturition were favourable. No fistulae were found at a straight erection and meatus at a normal position. The postoperative flow rate (Qmax) was 24.9 ml/second. As a conclusion Kulkarni technique urethroplasty gained good outcome for panurethral stricture in our case.