Browsing by Author "Mintah, Dominic Annor"

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    Dorsal Onlay Oral Mucosa Graft Urethroplasty: A Case Report and Review of Literature
    (Hindawi, 2020-10) Appiah, Kwaku Addai Arhin; Gyasi-Sarpong, Christian Kofi; Yenli, Edwin M. T.; Maison, Patrick Opoku Manu; Adofo, Charles Kwame; Amoah, George; Azorliade, Roland; Mintah, Dominic Annor; Badu-Peprah, Augustina; 0000-0003-0979-4006
    Urethral strictures in children are uncommon. They may present as lower urinary tract symptoms or acute urine reten tion [1]. The causes could be congenital, iatrogenic, posthy pospadias repair, or traumatic [2, 3]. The diagnosis involves a detailed history, physical examination, and appropriate radiological and endoscopic investigations [4]. Retrograde urethrography (RUG) with or without mictu rating cystourethrogram (MCUG) is the gold standard con firmatory test. In some situations, urethroscopy may berequired for confirmation and treatment. Penile and long bulbar urethral strictures are generally regarded as complexstrictures. This is because they do not lend themselves to simple excision and primary anastomosis [5]. They require tissue transfer in the form of grafts, flaps, or staged repair. Since the 1990s, the use of the buccal mucosal grafts to repair such complex anterior strictures has gained enormous popularity and acceptance due to its reproducibil ity and durable long term success rates of 85% and beyond [6–8]. Of significant debate is whether to place the graft ven trally or dorsally on the urethra. The dorsal approach seems cumbersome but the outcome is definitely better due to the mechanical support offered to the graft by the ventral aspect of the corporeal bodies [9–11]. We report on the successful application of the use of the oral mucosa graft dorsal onlay urethroplasty technique as described by Guido Barbagli [12] in a 14-year-old boy with a 7 cm Peno-bulbar urethral stricture at the Komfo Anokye