| RESEARCH ARTICLE |
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| Year : 2003 | Volume
: 20
| Issue : 1 | Page : 28-32 |
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Use of buccal mucosa as onlay graft technique for benign ureteric strictures
Shailesh A Shah, Prakash Ranka, Manish Visnagara, Sharad Dodia, Rajesh Jain
Department of Urology and Kidney Transplantation, Institute of Kidney Diseases & Institute of Transplantation Sciences, BJ Medical College & Civil Hospital, Ahmedabad, India
Correspondence Address:
Shailesh A Shah
Kidneyline Healthcare, 1 st floor, Harikrupa Towers, Near Govt. Ladies Hostel, B/h Gujarat College, Ellisbridge, Ahmedabad - 380 006
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Objectives: To cure long and multiple ureteric strictures by a simple procedure without the long term complications of bowel interposition or surgery of high magnitude like auto-transplantation.
Methods: Ureteric strictures in 5 patients were treated with buccal mucosa onlay grafts with an omental wrap. The underlying etiology was tuberculosis in 4 patients and amyloidosis in I patient. Mean age was 45 years. Three patients had strictures in upper ureter, 1 patient in midureter and 1 patient had panureteric stricture. In all patients length of stricture was greater than 5 cm.
Results: Ureteric patency was established in all patients. Four patients have persistent improvement in renal function. In I patient, renal function improved initially (at 6 months follow-up) but subsequently (at 1-year follow-up) the unit was non functioning. Follow-up was in the range of 1.5 year to 3.5 years.
Conclusions: In selected patients with complicated benign ureteric strictures, buccal mucosal dorsal onlay graft was proved capable of maintaining patency and good urinary drainage. The procedure is technically simple and devoid of complications. |
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