Ventral onlay graft bulbar urethroplasty using buccal mucosa

ObjectiveTo assess the ongoing role of ventral onlay oral mucosa free graft in the treatment of bulbar urethral stricture.MethodsDetailed review of technical consideration and outcomes from the author's institution along with review of other peer reviewed literature.ResultsOf 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.ConclusionVentral onlay remains an effective and versatile part of the armamentarium for bulbar urethral stricture.