ABSTRACT

Aim: To share our experience of buccal mucosa graft in hypospaedia repair and to see the complications and outcome of definitive procedure.

Study Design: Retrospective analysis.

Place and duration: Department of Urology, Sohail Medical Center Timergara  Dir from 1^st December 2017 to 31^st January 2019.

Methods: Total 40 patients for hypospaedia reconstruction were included in this study. Patient’s detailed demographics including age, sex and residence were recorded after taking written consent from attendants/parents. All participants were examined physically by attending surgeon. All patient underwent through buccal mucosa graft in two stage procedure. Complication were documented on follow up visits 1week(17 days) ,3week(34days),and 6week (51 days).

Results: Sixteen (40%) patients were ages <5 years while 24 (60%) were ages above 5 years with mean age 7.25±3.22 years. No complication was occurred after first stage procedure. At postoperative follow-up after two stage procedure 4 (10%) patients developed wound infection. No patient developed wound dehiscence while 3 (7.5%) developed urethrocutaneousfistula. At final follow-up 15 (37.5%) patients showed excellent, 20 (50%) showed good 3 (7.5%) showed fair and 2 (5%) showed poor functional and cosmetic outcomes. Overall treatment successful rate was 85%.

Conclusion: Buccal mucosa graft in hypospaedia repair gives better functional and cosmetic outcomes with fewer rate of complications.