Dorsal free graft urethroplasty for urethral stricture by ventral sagittalurethrotomy approach

Objectives. To explore the feasibility of applying a dorsal free graft to t reat urethral stricture by the ventral sagittal urethrotomy approach withou t mobilizing the urethra. Methods. Twelve patients with long or multiple strictures of the anterior u rethra were treated by a dorsal free full-thickness preputial or buccal muc osa graft. The urethra was not separated from the corporal bodies and was o pened in the midline over the stricture. The floor of the urethra was incis ed, and an elliptical raw area was created over the tunica on which a free full-thickness graft of preputial or buccal mucosa was secured. The urethra was retubularized in one stage. Results. After a follow-up of 8 to 40 months, one recurrence developed and required dilation. Conclusions. The ventral sagittal urethrotomy approach for dorsal free graf t urethroplasty is not only feasible and successful, but is easy to perform . (C) 2001, Elsevier Science Inc.