Approach to bulbar urethral strictures: Which technique and when?

Area of Science:

• Urology
• Surgical Innovation

Background:

• The bulbar urethra is the most frequent site for anterior urethral stricture formation.
• Strictures arise from idiopathic (40%), iatrogenic (35%), inflammatory (10%), and traumatic (15%) causes.

Purpose of the Study:

• To describe diverse surgical techniques for anterior urethral stricture repair.
• To elucidate the specific advantages associated with various buccal mucosal graft (BMG) approaches.

Main Methods:

• Review of established and novel surgical techniques for bulbar urethral stricture repair.
• Focus on reconstructive procedures utilizing buccal mucosal grafts.

Main Results:

• Multiple surgical strategies exist for anterior urethral stricture repair using buccal mucosal grafts.
• Each technique offers distinct benefits influencing reconstructive outcomes.

Conclusions:

• Buccal mucosal grafting is a versatile option for anterior urethral stricture repair.
• Understanding technique-specific advantages optimizes surgical planning and patient results.