Document Detail

Oral complications after buccal mucosal graft harvest for urethroplasty.
MedLine Citation:
PMID:  15476524     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report long-term oral complications after buccal mucosal graft (BMG) harvesting for urethroplasty. PATIENTS AND METHODS: In a retrospective study of all patients who had BMG harvesting for urethroplasty from April 1996 to September 2002, telephone interviews were conducted using a standard proforma. RESULTS: Thirty-five patients were identified but only 30 (mean age 48.3 years, range 24-86) could be contacted; they had had 31 operations. Soon after surgery (the first 48 h), 22 (73%) of the patients had little or no oral pain; 70% and 90% of the patients were able to eat and drink, respectively; 59% complained of numbness and 75% complained of tightness of the mouth. At discharge 6 days after surgery 90% of patients had little or no oral pain and all were able to eat and drink, but 10% had moderate-to-severe oral pain, 39% had oral numbness, and 52% had tightness of the mouth. At the time of interview, 16% of patients had oral numbness (mean duration 13.6 months) and 32% had tightness of the mouth (mean duration 20.9 months). In answer to the question of whether they would have their cheek mucosa harvested again if required, 74% responded 'yes', 3% 'no', and 23% had mixed feelings. CONCLUSIONS: BMG harvesting is a good operation, as most patients were satisfied, but it is not without long-term complications and patients should be adequately informed.
Norman Dublin; Laurence H Stewart
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJU international     Volume:  94     ISSN:  1464-4096     ISO Abbreviation:  BJU Int.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-12     Completed Date:  2004-11-22     Revised Date:  2006-07-18    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  867-9     Citation Subset:  IM    
Department of Urology, Western General Hospital, Edinburgh, UK.
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MeSH Terms
Aged, 80 and over
Middle Aged
Mouth Diseases / etiology*
Mouth Mucosa* / transplantation
Patient Satisfaction
Retrospective Studies
Tissue and Organ Harvesting / adverse effects*
Transplantation, Autologous
Urethra / surgery*
Urethral Diseases / surgery*
Comment In:
BJU Int. 2005 Mar;95(4):679   [PMID:  15705105 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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