Combined Dorsal and Ventral Onlay Buccal Graft Technique for Large and Complex Penile Strictures

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...

Ventral Onlay Buccal Mucosa Graft in Complex Hypospadias Repair

Hypospadias is the most common penile congenital anomaly [2] and the second most common congenital malformation in males, occurring in approximately one in 125 live male births [3]. Two theories were suggested for development of hypospadias, endodermal theory and ectodermal theory [4]. Types of hypospadias are anterior, middle and posterior with the posterior type account approximately 20% of c...

Double inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture.

OBJECTIVES Buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (1). The inlay and onlay buccal mucosa grafts are easier to perform, do not need urethral mobilization and generally have good long-term results (2-4). In the present video, we present a case where we used a double buccal mucosa graft technique in a simultaneous penile and bulbar ...

Ventral buccal mucosa graft urethroplasty for penile urethral strictures: a predictable failure?

BACKGROUND In the case of buccal mucosa graft (BMG) urethroplasty for penile urethral strictures (PUS), it is supposed that the ventral onlay (VO) would not assure sufficient nutritional and mechanical support. Because VO requires only one ventral incision of the stenotic urethral segment and does not affect the urethral vasculature, we have design a prospective study related to this issue. M...

Dorsal onlay graft bulbar urethroplasty using buccal mucosa