Graft Use in Bulbar Urethroplasty

Mya E Levy; Sean P Elliott

doi:10.1016/j.ucl.2016.08.009

Graft Use in Bulbar Urethroplasty

Urol Clin North Am. 2017 Feb;44(1):39-47. doi: 10.1016/j.ucl.2016.08.009.

Authors

Mya E Levy¹, Sean P Elliott²

Affiliations

¹ Department of Urology, University of Minnesota, 420 Delaware Street South East, MMC 394, Minneapolis, MN 55455, USA.
² Department of Urology, University of Minnesota, 420 Delaware Street South East, MMC 394, Minneapolis, MN 55455, USA. Electronic address: selliott@umn.edu.

PMID: 27908370
DOI: 10.1016/j.ucl.2016.08.009

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%.

Keywords: Buccal graft; Dorsal onlay; Urethral stricture; Urethroplasty; Ventral onlay.

Publication types

Review

MeSH terms

Humans
Male
Mouth Mucosa / transplantation*
Plastic Surgery Procedures / methods*
Surgical Flaps*
Urethra / surgery*
Urethral Stricture / surgery*
Urologic Surgical Procedures, Male / methods*