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

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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.

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Authors and Affiliations

  1. Department of Urology, La Fe University Hospital, Valencia, Spain

    E. Morán, M.A. Bonillo, E. Martínez-Cuenca, S. Arlandis, E. Broseta & F. Boronat

  2. Department of Dental Medicine, School of Medicine and Dentistry, University of Valencia, Valencia, Spain

    L. Fernández-Estevan

Authors
  1. E. Morán
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  2. M.A. Bonillo
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  3. L. Fernández-Estevan
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  4. E. Martínez-Cuenca
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  5. S. Arlandis
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  6. E. Broseta
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  7. F. Boronat
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Contributions

EM: project development, data collection, data analysis, manuscript writing, manuscript writing/editing. MAB: project development, data analysis, data collection, manuscript writing/editing. LF-E: project development, data analysis, manuscript writing, manuscript writing/editing. EM-C:project development, data collection or management. SA: project development, data collection or management. EB: project development, data collection or management, manuscript writing/editing. FB: project development, data analysis, manuscript writing/editing

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Correspondence to E. Morán.

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The authors declare that they have no conflict of interest.

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Morán, E., Bonillo, M., Fernández-Estevan, L. et al. Oral quality of life after buccal mucosal graft harvest for substitution urethroplasty. More than a bite?. World J Urol 37, 385–389 (2019). https://doi.org/10.1007/s00345-018-2381-9

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  • DOI: https://doi.org/10.1007/s00345-018-2381-9

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