Actively Recruiting
Study of Joshis Step and Buccal Mucosal Graft Urethroplasty for Narrow Bulbar Urethral Stricture in Adult Men
Led by Tanta University · Updated on 2025-07-28
50
Participants Needed
1
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
This research aims to assess the functional and surgical results of Joshis step combined with buccal mucosal graft urethroplasty in treating nearly obliterated bulbar urethral stricture. This condition involves a severe narrowing of the bulbar urethra, and the study evaluates a new surgical technique introduced in 2022 that avoids removing the narrowest part of the urethral plate, instead using careful suturing to restore the urethra. Participants will receive a dorsal onlay buccal mucosal graft urethroplasty using Joshis step technique. This approach is designed for patients with extremely narrow strictures where a single augmentation is insufficient. The treatment avoids resecting the residual urethral plate and focuses on reconstructing the affected area with a graft and suturing. During the study, participants will be monitored for surgical success six months after the operation. Assessments will include measuring urine flow rate and the size of the urethral lumen to evaluate the outcome of the procedure. The total study period involves follow-up visits to track recovery and functional improvements after surgery.
CONDITIONS
Brief Title
Joshi's Step With Buccal Mucosal Graft Urethroplasty in Nearly Obliterated Bulbar Urethral Stricture
Research Team
M
Mohamed I Elmaadawy, MD
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