Ventral onlay graft bulbar urethroplasty using buccal mucosa

Abstract

Objective: To assess the ongoing role of ventral onlay oral mucosa free graft in the treatment of bulbar urethral stricture.

Methods: Detailed review of technical consideration and outcomes from the author’s institution along with review of other peer reviewed literature.

Results: Of 62 patients undergoing ventral onlay buccal mucosa urethroplasty, 19% had recurrence of stricture, and an additional 5% exhibited diverticulum formation. Complications were self-limited. Previously published case series and meta-analysis demonstrate similar results.

Conclusion: Ventral onlay remains an effective and versatile part of the armamentarium for bulbar urethral stricture.

Keywords: Urethra; Stricture; Free graft; Substitution