Urethral replacement surgery in men with scleroatrophic lichen

Introduction. Scleroatrophic lichen (SAL) can lead to urethral stenosis and impaired urination. Objective: to evaluate the effectiveness of buccal urethroplasty for surgical treatment of urethral strictures caused by SAL. Material and methods. 33 operated men aged 17 to 77 years with SAL complicated by urethral stricture were examined. All patients had previously undergone various types of operations and were admitted with a recurrence of urethral stricture. In 57% of patients, the stricture was localized in the penile urethra, in 34% - in the glandular and in 9% - in the bulbo-membranous section; in 9 (27.3%) patients with extended urethral strictures and in 7 (21.2%) with recurrent strictures and obliteration of the urethra. All patients underwent surgical treatment in the volume of replacement urethroplasty with buccal graft. Results. The data on the effectiveness of buccal replacement urethroplasty in urethral strictures caused by SAL, confirmed by histology, are substantiated. Before surgical treatment, in 72.2% of cases in patients with urethral stricture with scleroatrophic lichen, a violation of the passage of urine from the lower urinary tract was noted. After buccal urethroplasty after 3 months, a decrease in symptoms of the obstruction was noted in 33% of studies, after 6-12 months, a reliable restoration of an adequate act of urination was revealed in 76.9% of observations. Conclusion.The use of buccal urethroplasty in patients suffering from SAl is successful. The method of replacement urethroplasty with buccal graft helps to reduce the number of complications and relapses, helps to restore adequate urination from the lower urinary tract and improve the quality of life in patients suffering from SAL.