Oral quality of life after buccal mucosal graft harvest for substitution urethroplasty. More than a bite?

Autores de IIS La Fe

• Eduardo José Morán Pascual

  Autor

• Miguel Ángel Bonillo García

  Autor

• María Esther Martínez Cuenca

  Autor

• Salvador Arlandis Guzmán

  Autor

• Enrique Broseta Rico

  Autor

• Francisco Boronat Tormo

  Autor

Participantes ajenos a IIS La Fe

• Fernandez-Estevan, L

Grupos

• Urología

  Leader

  Francisco Boronat Tormo

Abstract

Introduction The aim of our study was to analyze the oral quality of life (QoL) in patients with urethral stricture treated with BMG by using a validated questionnaire (OIDP). Materials and methods A prospective, single-arm, observational single-centre study of a cohort of patients scheduled for BMG Urethroplasty was conducted. OIDP assesses the impact of oral conditions on daily activities including an oral QoL question (0-10). The questionnaire was self-administered before, 3 months postoperatively and at the end of the study. Means, pre- and postoperatively, were compared. Multivariate analysis was performed to analyze the risk factors for a low quality of life (<8) after surgery. Results We included 41 patients (2013-2017). The mean preoperative oral QoL was 9.33 points (SD1.16). Preoperative mean OIDP dimensional score and global score were 0,5 (SD:0.02) and 0,8%. The most frequently preoperative altered aspect was hygiene. Mean oral QoL, 3 months after surgery, was 8,56 (SD1.89) and OIDP dimensional score and global score were 0,67 (SD0.21) and 1,1%. Mean oral QoL at the end of the study (mean 3,12 years) was 8,50 (SD1.13). OIDP dimensional score and global score were 0,7 (SD 0.16) and 1,1%.The most frequently altered aspect at the end of the study was eating. No statistical (p = 0.07) decrease in oral QoL was found. The increase in OIDP dimensional and global score was also not statistically significant. Neither age nor smoking, diabetes mellitus, cardiovascular morbidity, previous OIDP score, width, length of the graft, or surgery success could explain a low oral QoL alter graft harvesting. Conclusions BMG harvesting is not free of problems at the donor site. Eating seems to be the most affected aspect after surgery. Nevertheless, those sequelae do not induce a reduction in oral QoL.

Keywords

• Urethroplasty; Buccal mucosal graft; Oral quality of life; OIDP; Questionnaire; Donor site