Background :
Balanitis Xerotica Obliterans (BXO) with meatal stenosis is a morbid condition. Treatment of meatal stenosis due to BXO is challenging because of a high recurrence rate. Various surgical options are practiced for BXO with meatal stenosis. Proper treatment is necessary to provide relief from patient suffering.
Objectives :
The purpose of this study was to evaluate the outcome of combined dorsal and ventral buccal mucosal graft meatoplasty compared with dorsal meatoplasty in the treatment of Balanitis Xerotica Obliterans with meatal stenosis.
Methods :
This prospective quasi-experimental study was carried out in the Department of Urology, Dhaka Medical College and Hospital, Bangladesh from July 2013 to June 2015 over a period of 24 months. All patients presented with Balanitis Xerotica Obliterans with meatal stenosis were included and divided into two groups: group 1 (combined dorsal and ventral buccal mucosal graft meatoplasty) and group 2 (dorsal graft meatoplasty). Post-operative follow-up was done for six months.
Results :
Among 60 patients, 30 were in group 1 and 30 in group 2. In group 1, the mean ± SD operative time was 101.17 ± 16.27 minutes.
At six months follow-up, mean ± SD Qmax in group 1 was 19.37 ± 4.79 ml/sec and in group 2 was 16.16 ± 3.69 ml/sec (p < 0.05). Mean voiding time in group 1 was 29.33 ± 8.16 sec, and in group 2 it was 32.73 ± 13.83 sec (p > 0.05).
Success was achieved in 25 (83.3%) cases in group 1, compared to 19 (63.3%) cases in group 2.
Conclusion :
Combined dorsal and ventral buccal mucosal graft meatoplasty shows better outcomes than dorsal graft meatoplasty; however, long-term follow-up is required to confirm durability of results.