The following material presents a surgical techniques in substitution urethroplasty using buccal mucosa. Urethral strictures are difficult to manage. Some treatment modalities for urethral strictures are fraught with high patient morbidity and stricture recurrence rates. However, an extremely useful tool in the armamentarium of the Reconstructive Urologist is buccal mucosal urethroplasty. Buccal mucosa graft become an ideal urethral substitute because of ease of harvest, surgical handling characteristics, hairlessness, compatibility in a wet environment, and its early in-growth and graft survival. Because of these unique characteristics, buccal mucosa has endeared itself to the realm of reconstructive urology. Standard bulbar urethroplasties using buccal grafts should have a lifetime success rate approaching 92%.
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