title: Outcome of Dorsal Onlay Buccal Mucosa Substitution Urethroplasty in Long Strictures of Anterior Urethra.
abstract: BACKGROUND
  The surgical treatment of adult anterior urethral strictures is constantly evolving. Controversy exists over the best means of reconstructing the anterior urethra.
  
  
  METHODS
  Twelve patients underwent buccal mucosal urethroplasty for long segment anterior urethral stricture between 2003 and 2005 . Eleven patients with a salvageable urethral plate were treated with one stage dorsal onlay urethroplasty, using a perineal or circumcoronal incision. One patient with a severely scarred urethral plate underwent two-stage urethroplasty.
  
  
  RESULTS
  At a mean follow up of 14.2 months (range 2 to 26) one (8.3%) patient had short recurrent stricture, which was treated with optical urethrotomy. The mean maximal urine flow rate improved from 8.3 ml/sec to 18.1 ml/sec after the surgery. There were no donor site complications. All patients had a normal slit like meatus and none had chordee or erectile dysfunction.
  
  
  CONCLUSIONS
  In long stricture of anterior urethra, dorsal onlay buccal mucosa urethroplasty provides excellent intermediate term results with a normal, wide caliber urethra.
authors.affiliation: Senior Advisor (Surgery & Urology), Base Hospital, Delhi Cantt-10.
authors.forename: D K
authors.initials: DK
authors.lastname: Jain
authors.affiliation: Graded Specialist (Surgery) and Resident (Urology), Army Hospital, (Research & Referral), Delhi Cantt-10.
authors.forename: R
authors.initials: R
authors.lastname: Talwar
keywords: Buccal mucosa urethroplasty; Stricture urethra