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Título

URETRHOPLASTY WITH BUCCAL MUCOSA GRAFT: PROPOSITION OF A SCORE OF SYMPTOMS FOR THE INTRAORAL MORBITY EVALUATION DURING THE POSOPERATIVE PERIOD

Resumo

Objective: The aim of this study is to propose a score to evaluate how the site of removal of the buccal mucosa graft (BMG) for urethroplasty behaves in the postoperative period.
Material and Methods: We studied 20 patients (mean age=61.1) with urethral stenosis undergoing urethroplasty with BMG were studied. The following parameters were analyzed in the immediate (7 days after surgery) and in the late postoperative period (30 days after surgery): Paresthesia, pain, bleeding and difficulty feeding. The 4 items were scored according to their intensity in absent (0), light (1 point) or intense (2 points), and the score could range from 0 to 8 points. For the statistical analysis we used the student t test (p <0.05).
Results: Of the 20 patients, 6 (30%) had meatus stenosis; 10 (50%) had bulbar urethral stenosis; 1 (5%) had penile urethral stenosis; 2 (10%) presented simultaneous bulbar and penile urethral stenosis and 1 (5%) presented simultaneous bulbar and meatus stenosis. The strictures ranged from 2 to 9cm (mean=4.05cm). In the immediate post operative period the score ranged from 0 to 7 points (mean=2.95). In the late post operative period the score ranged from 0 to 5 points (mean=1.1) with a significant difference (p <0.05) from the immediate score.
Conclusion: Removal of oral mucosa is well tolerated by most patients. We have a small sample size but the use of the postoperative symptom score for the use of BMG seems promising and may be an auxiliary tool for the analysis and management of symptoms in the postoperative period.

Palavras Chave ( separado por ; )

Urethroplasty; Urethral stricture; reconstruction; urethral stenosis; buccal mucosa graft