title: Ventral inlay buccal mucosal graft urethroplasty: a novel surgical technique for the management of urethral stricture disease.
abstract: To describe the novel technique of ventral inlay substitution urethroplasty for the management of male anterior urethral stricture disease. A 58-year-old gentleman with multifocal bulbar stricture disease measuring 7 cm in length was treated using a ventral inlay substitution urethroplasty. A dorsal urethrotomy was created, and the ventral urethral plated was incised. The edges of the urethral plate were mobilized without violation of the ventral corpus spongiosum. A buccal mucosa graft was harvested and affixed as a ventral inlay to augment the caliber of the urethra. The dorsal urethrotomy was closed over a foley catheter. No intraoperative or postoperative complications occurred. Postoperative imaging demonstrated a widely patent urethra. After three years of follow-up, the patient continues to do well with no voiding complaints and low postvoid residuals. Ventral inlay substitution urethroplasty appears to be a safe and feasible technique for the management of bulbar urethral strictures.
authors: Department of Urology, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston Salem, NC, USA.
authors: Robert Caleb
authors: RC
authors: Kovell
authors: Department of Urology, Wake Forest Baptist Medical Center, Wake Forest School of Medicine, Winston Salem, NC, USA.
authors: Ryan Patrick
authors: RP
authors: Terlecki
mesh_terms: D003558:Cystoscopy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000175:diagnosis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Buccal mucosa; Reconstructive surgical procedure; Urethral stricture