Objectives. To review the available literature describing the three most common approaches for buccal mucosal graft (BMG)\naugmentation during reconstruction of bulbar urethral strictures. Due to its excellent histological properties, buccal mucosa graft\nis now routinely used in urethral reconstruction. The best approach for the placement of such a graft remains controversial.\nMethods. PubMed search was conducted for available English literature describing outcomes of bulbar urethroplasty augmentation\ntechniques using dorsal, ventral, and lateral approaches. Prospective and retrospective studies as well as meta-analyses and latest\nsystematic reviews were included. Results. Most of the studies reviewed are of retrospective nature and majority described dorsal\nor ventral approaches. Medium- and long-term outcomes of all three approaches were comparable ranging between 80 and 88%.\nConclusion. Various techniques of BMG augmentation urethroplasty have been described for repairs of bulbar urethral strictures.\nIn this review, we describe and compare the three most common ââ?¬Å?competingââ?¬Â approaches for bulbar urethroplasty with utilization\nof BMG.
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