Long-Term Outcomes of Single Stage Dorsal Onlay Buccal Mucosa Urethroplasty for Different Anterior Urethral Strictures: A Prospective Study

Surgical treatment of urethral strictures is a continually evolving process, and currently there is renewed controversy over the best means of urethral reconstruction. Buccal mucosa graft (BMG) has gained much interest because of its excellent short and long-term results, low post-operative complication rate, and relative ease of use [1,2]. A number of series reported success rate of 87-90% using ventral grafts with very acceptable associated morbidity [3,4]. Barbagli et al. [5] introduced the concept of dorsal BMG and some authors hypothesized that this approach might result in superior results compared with ventral grafting [6,7] In a recent study, Kumar et al. [8] confirmed the success of dorsal onlay BMG urethroplasty in long segment anterior urethral stricture extending from external meatus to bulbar urethra. Herein we report detailed techniques and results of one stage dorsal onlay buccal mucosa graft for repair of anterior urethral strictures.