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Dorsal Onlay Oral Mucosal Graft Urethroplasty

The dorsal onlay technique, popularized by Barbagli in 1996, places a buccal mucosal graft on the dorsal urethral surface after mobilizing the urethra from the corpus spongiosum. The graft is sutured to the tunica albuginea of the corpora cavernosa, providing a vascular backing that promotes graft take. This approach is well-suited for bulbar urethral strictures and has demonstrated durable long-term patency rates.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

  1. Barbagli G, Selli C, di Cello V, Mottola A. "A one-stage dorsal free-graft urethroplasty for bulbar urethral strictures." Br J Urol. 1996;78(6):929–32. PMID: 9054355
  2. Barbagli G, Palminteri E, Rizzo M. "Dorsal onlay graft urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures." J Urol. 1998;160(4):1307–9. PMID: 9751341