Substitution urethroplasty with buccal mucosal-free grafts

Purpose: Buccal mucosal grafts and the Barbagli technique are recent developments in the treatment of urethral strictures. Materials and Methods: We reviewed the results of and experience with urethroplasty using buccal mucosal graft in 128 patients. Results: The re-stricture rate was 11% for patch grafts and 45% for tube grafts. There were no other complications. Conclusions: Buccal mucosal graft is at least as good as any other material for substitution urethroplasty with fewer complications. The 2-stage is more reliable than the stage 1 approach for circumferential reconstruction of the urethra.