title: Dorsal versus ventral oral mucosal graft urethroplasty.
abstract: OBJECTIVE
  To evaluate success rate of dorsal versus ventral oral mucosal graft for anterior urethroplasty.
  
  
  METHODS
  In a retrospective study, the results of the ventral and dorsal oral mucosal graft (OMG) anterior urethroplasty were assessed in 24 and 29 patients, respectively. Demographic and clinical characteristics of subjects were gathered from the medical records.
  
  
  RESULTS
  Patients were followed up for a mean duration of 32 months (range, 25 to 51 months). The success rates of dorsal and ventral anterior OMG urethroplasty were 83.3% and 75.8%, respectively (P = .5). At penile site, dorsal and ventral OMG were done for 9 and 10 patients with stricture lengths of 3.7 ± 1.1 cm and 3.9 ± 1.2 cm, respectively (P = .7). Success rates of dorsal and ventral penile OMG were 88.9% and 70%, respectively (P = .3). At the bulbar site, dorsal and ventral OMG were performed on 15 and 19 patients with stricture lengths of 4.1 ± 1.1cm and 4.2 ± 1.5 cm, respectively (P = .7). The success rates of dorsal and ventral bulbar OMG were 80% and 79%, respectively (P = .94).
  
  
  CONCLUSIONS
  Oral mucosal graft is a versatile and an effective procedure for management of strictures throughout the anterior urethra, and in experienced hands, the outcomes are similarly favorable whether a dorsal or ventral approach is taken.
authors.affiliation: Department of Reconstructive Urology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. jhosseinee@gmail.com
authors.forename: Jalil
authors.initials: J
authors.lastname: Hosseini
authors.forename: Ali
authors.initials: A
authors.lastname: Kaviani
authors.forename: Mokhtar
authors.initials: M
authors.lastname: Hosseini
authors.forename: Mohammad Mohsen
authors.initials: MM
authors.lastname: Mazloomfard
authors.forename: Abdollah
authors.initials: A
authors.lastname: Razi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D012189:Retrospective Studies; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult