Graft Use in Bulbar Urethroplasty

Mya E. Levy; Sean P. Elliott

doi:10.1016/j.ucl.2016.08.009

Graft Use in Bulbar Urethroplasty

Mya E. Levy, Sean P. Elliott

Urology

Research output: Contribution to journal › Review article › peer-review

29 Scopus citations

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%.

Original language	English (US)
Pages (from-to)	39-47
Number of pages	9
Journal	Urologic Clinics of North America
Volume	44
Issue number	1
DOIs	https://doi.org/10.1016/j.ucl.2016.08.009
State	Published - Feb 1 2017

Bibliographical note

Publisher Copyright:
© 2016 Elsevier Inc.

Keywords

Buccal graft
Dorsal onlay
Urethral stricture
Urethroplasty
Ventral onlay

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AB - 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%.

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KW - Urethroplasty

KW - Ventral onlay

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Graft Use in Bulbar Urethroplasty

Abstract

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