Non-transecting bulbar urethroplasty using buccal mucosa

Non-transecting bulbar urethroplasty

Excision and end-to-end anastomosis (EPA) has been the preferred urethroplasty technique for short bulbar strictures and is associated with an excellent functional outcome. Driven by concerns over the potential morbidity associated with dividing the urethra, therefore compromising spongiosal blood flow, as well as spongiofibrosis being superficial in the majority of non-traumatic bulbar strictu...

Dorsal onlay graft bulbar urethroplasty using buccal mucosa

Bulbar urethroplasty using combined dorsal cum ventral onlay buccal mucosa graft: a novel technique.

Dear Editor, In urethral stricture disease, it is known that anastomostic urethroplasty with complete excision of scar tissue provide the best long-term outcome for short bulbar urethral strictures. Longer strictures are dealt with by onlay urethroplasties employing tissue substitution, using either flaps or grafts. In recent times, the buccal mucosa graft, whether laid dorsally or ventrally, h...

Surgical Techniques in Substitution Urethroplasty Using Buccal Mucosa

Introduction Since the resurgence in the use of buccal mucosa in substitution urethroplasty in the late 1980s and early 1990s, there has been controversy as to which surgical technique is the most appropriate for its application. Method The authors performed a literature review. Several centres have published widely on this topic, and the points considered include the use buccal mucosa (BM) in ...

Does site of buccal mucosa graft for bulbar urethra stricture affect outcome? A comparative analysis of ventral, dorso-lateral and dorsal buccal mucosa graft augmentation urethroplasty.

OBJECTIVE To compare long- term outcomes of buccal mucosa graft (BMG) augmentation urethroplasty for long segment bulbar urethral strictures done by placing the graft ventrally, dorso-laterally and dorsally. MATERIAL AND METHODS We conducted a single institution retrospective study on 112 who underwent BMG augmentation urethroplasty for non-traumatic bulbar urethral strictures between January...