title: Surgical Repair of Bulbar Urethral Strictures: Advantages of Ventral, Dorsal, and Lateral Approaches and When to Choose Them.
abstract: Objectives. To review the available literature describing the three most common approaches for buccal mucosal graft (BMG) augmentation during reconstruction of bulbar urethral strictures. Due to its excellent histological properties, buccal mucosa graft is now routinely used in urethral reconstruction. The best approach for the placement of such a graft remains controversial. Methods. PubMed search was conducted for available English literature describing outcomes of bulbar urethroplasty augmentation techniques using dorsal, ventral, and lateral approaches. Prospective and retrospective studies as well as meta-analyses and latest systematic reviews were included. Results. Most of the studies reviewed are of retrospective nature and majority described dorsal or ventral approaches. Medium- and long-term outcomes of all three approaches were comparable ranging between 80 and 88%. Conclusion. Various techniques of BMG augmentation urethroplasty have been described for repairs of bulbar urethral strictures. In this review, we describe and compare the three most common "competing" approaches for bulbar urethroplasty with utilization of BMG.
authors.affiliation: Department of Urology, MedStar Washington Hospital Center, 110 Irving Street NW, Suite 3B-19, Washington, DC 20010, USA.
authors.forename: Krishnan
authors.initials: K
authors.lastname: Venkatesan
authors.affiliation: Department of Urology, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA ; Division of Urology, University of Colorado, 12605 E. 16th Avenue, Aurora, CO 80045, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Blakely
authors.affiliation: Department of Urology, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.
authors.forename: Dmitriy
authors.initials: D
authors.lastname: Nikolavsky