Augmented anastomotic urethroplasty with ventrally placed buccal mucosal graft

The most common site of anterior urethral stricture is the bulbar urethra. The etiology of these strictures could be either idiopathic (40%), iatrogenic (35%), inflammatory (10%), or traumatic (15%) causes. Several techniques and approaches with/without buccal mucosal graft have been described. We report a modification to the standard anastomotic urethroplasty, wherein following excision of a 2.0-cm bulbar urethral stricture, we performed a roof strip anastomosis followed by ventral buccal mucosal augmentation urethroplasty.