Buccal versus lingual mucosal graft in management of anterior urethral stricture: a prospective comparison of surgical outcome and donor site morbidity

Abstract

As evident from the current study, the study concluded that both buccal mucosal graft (BMG) and lingual mucosal graft (LMG) are effective options for the surgical management of anterior urethral strictures. The surgical outcomes, including graft success, stricture recurrence, and urethral function, were similar between the two groups. However, significant differences were observed in donor site morbidity. Patients in the LMG group experienced more early postoperative complications related to oral functions, such as difficulties with drinking, eating, and speaking. On the other hand, BMG patients reported more long-term issues with oral tightness. These findings suggest that both grafts are suitable for urethral stricture repair, but the choice of graft may depend on individual patient circumstances, particularly regarding their tolerance for specific oral complications.