ABSTRACT
Introduction: Urethral stricture is the term used for anteriorurethral disease, or spongiofibrosis. Current research aimed tostudy buccal mucosal graft and penile skin grafts for dorsalonlay urethroplasty.Material and methods: This was a prospective studyconducted at the department of Surgery, R.I.M.S., Ranchifrom November 2010 to October 2012 in urethral stricturecases in male adults. Detail history taking and imagingprocedures were done for all patients. Patients were dividedinto two groups. The first group underwent buccal mucosalgraft and the second group underwent penile skin graft.Result: A total of 43 patients were included in the study.We found that urethral stricture was most common in theage group of 31-40 years. On follow-up, one patient (5%) inthe BMG group and 3 patients (15%) in the PSG group hadthinning of stream/failure.Conclusion: For substitution urethroplasty, buccal mucosashould be the preferred substitute but penile skin can be usedin cases when the buccal mucosa is unavailable as in cases ofsub mucosal fibrosis.
ABSTRACT
A rare case of a penetrating intracardiac injury due to a ball-point pen in an adult male is reported. The patient presented with a retained metal spring embedded in the interventricular septum without any cardiac defects. A small metal tip of the pen was also present in the left lung. The patient was asymptomatic and without any cardiovascular compromise. The cardiac injury was managed conservatively. At two years after the injury the patient is still asymptomatic.