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Buccal Mucosal Graft Urethroplasty

  • Chapter
Urethral Reconstructive Surgery

Part of the book series: Current Clinical Urology ((CCU))

Summary

Buccal mucosa has received increased attention in the field of urological reconstructive surgery because it is readily available, is easily harvested from the cheek or lip and it leaves concealed donor site scar. Surgical treatment of adult penile and bulbar urethral strictures has been a constantly evolving process and considerable changes have recently been introduced. Here we report the development and the evolution of buccal mucosal graft urethroplasty with a detailed surgical techniques. We describe penile one-stage dorsal inlay buccal mucosa graft urethroplasty, ventral onlay buccal mucosal graft urethroplasty and dorsal onlay buccal mucosal graft urethroplasty. As free grafts have been making a comeback, with fewer surgeons using genital flaps we found that short bulbar strictures are amenable using primary anastomosis, with a high success rate. Longer strictures are repaired using ventral or dorsal graft urethroplasty, with the same success rate. New tools such as fibrin glue or engineered material will become a standard in future treatment. In reconstructive urethral surgery, the superiority of one approach over another is not yet clearly defined. The surgeon must be competent in the use of various techniques to deal with any condition of the urethra presented at the time of surgery.

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Author information

Authors and Affiliations

  1. Department of Medicine and Surgery, University of Vita Salute-San Raffaele and Center for Reconstructive Urethral Surgery, Arezzo, Italy

    Guido Barbagli

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  1. Guido Barbagli
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Editors and Affiliations

  1. Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, Saint Louis, MO, USA

    Steven B. Brandes M.D., FACS

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© 2008 Humana Press, a part of Springer Science + Business Media, LLC

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Barbagli, G. (2008). Buccal Mucosal Graft Urethroplasty. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_11

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  • DOI: https://doi.org/10.1007/978-1-59745-103-1_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-826-3

  • Online ISBN: 978-1-59745-103-1

  • eBook Packages: MedicineMedicine (R0)

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