title: Dorsal plus ventral oral mucosal graft bulbar urethroplasty.
abstract: Traditionally, anastomotic procedures with transection and urethral excision are suggested for short bulbar strictures, while longer strictures are treated by patch graft urethroplasty preferably using the buccal mucosa as gold-standard material due to its histological characteristics. However, anastomotic urethroplasties may cause sexual complications related to vascular damage of the spongiosum following the urethral section or to excessive urethral shortening. On the other hand, one-sided graft procedures, using either dorsal or ventral graft location, could be insufficient in providing a lumen of adequate width in strictures with a particularly narrow area. The double buccal graft urethroplasty is a new technique that aims to obtain a sufficient "two-sided" augmentation of the urethra avoiding its transection and preserving the urethral plate. In this chapter we discuss the rationale for utilizing our procedure. In addition, the surgical technique is described in detail.
authors: Center for Urethral and Genitalia Reconstructive Surgery. Arezzo. Italy.
authors: Enzo
authors: E
authors: Palminteri
authors: Elisa
authors: E
authors: Berdondini
mesh_terms: D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000379:methods*; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000517:prevention & control; D020858:Tissue and Organ Harvesting; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic / Q000379:methods*; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*