Masood Shah, Abdul Wahab, Muhammad Daraz, Saddar Rahim, Aziz-ul Wahab, Pervaiz Khan.
One Years` Experience of Buccal Mucosa Graft for Hypospaedia Repair.
Pak J Med Health Sci Jan ;14(2):669-71.

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 1st December 2017 to 31st 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 1 week(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 urethrocutaneous fistula. 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.

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