Graft Use in Bulbar Urethroplasty

Mya E. Levy, Sean P. Elliott

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

The gold standard for bulbar urethroplasty has been excision and primary anastomosis. Application of this approach is generally limited to strictures that are 2 cm or less in the bulbar urethra due to penile shortening. Strictures greater than 2 cm are successfully treated with augmentation urethroplasty wherein the narrowed segment is not excised but widened with the use of a skin flap or a tissue graft. Buccal mucosa is the most prevalent tissue for bulbar urethral stricture repair for strictures greater than 2 cm. Outcomes for the different graft locations are similar, approximately 90%.

Original languageEnglish (US)
Pages (from-to)39-47
Number of pages9
JournalUrologic Clinics of North America
Volume44
Issue number1
DOIs
StatePublished - Feb 1 2017

Keywords

  • Buccal graft
  • Dorsal onlay
  • Urethral stricture
  • Urethroplasty
  • Ventral onlay

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