title: Graft Use in Bulbar Urethroplasty.
abstract: The gold standard for bulbar urethroplasty has been excision and primary anastomosis. Application of this approach is generally limited to strictures that are 2 cm or less in the bulbar urethra due to penile shortening. Strictures greater than 2 cm are successfully treated with augmentation urethroplasty wherein the narrowed segment is not excised but widened with the use of a skin flap or a tissue graft. Buccal mucosa is the most prevalent tissue for bulbar urethral stricture repair for strictures greater than 2 cm. Outcomes for the different graft locations are similar, approximately 90%.
authors.affiliation: Department of Urology, University of Minnesota, 420 Delaware Street South East, MMC 394, Minneapolis, MN 55455, USA.
authors.forename: Mya E
authors.initials: ME
authors.lastname: Levy
authors.affiliation: Department of Urology, University of Minnesota, 420 Delaware Street South East, MMC 394, Minneapolis, MN 55455, USA. Electronic address: selliott@umn.edu.
authors.forename: Sean P
authors.initials: SP
authors.lastname: Elliott
mesh_terms: D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
keywords: Buccal graft; Dorsal onlay; Urethral stricture; Urethroplasty; Ventral onlay