Djordjevic, Miroslav L. (7102319341)Miroslav L. (7102319341)DjordjevicKojovic, Vladimir (23970795300)Vladimir (23970795300)KojovicBizic, Marta (23970012900)Marta (23970012900)BizicMajstorovic, Marko (23971198500)Marko (23971198500)MajstorovicVukadinovic, Vojkan (35619008800)Vojkan (35619008800)VukadinovicKorac, Gradimir (8312474700)Gradimir (8312474700)Korac2025-06-122025-06-122011https://doi.org/10.1016/j.juro.2011.01.036https://www.scopus.com/inward/record.uri?eid=2-s2.0-79955871434&doi=10.1016%2fj.juro.2011.01.036&partnerID=40&md5=2349011364633e180c616d14e6e554e1https://remedy.med.bg.ac.rs/handle/123456789/9969Purpose: Urethral stricture is the second most common complication of hypospadias repair after urethrocutaneous fistula. Usually more than 1 procedure is needed for correction due to a lack of available tissue after previous repairs. We evaluated 1-stage urethral stricture management after hypospadias repair using a ventral buccal mucosal graft. We describe the importance of graft hanging and coverage. Materials and Methods: From August 2004 to April 2009, 15 patients 9 to 17 years old underwent urethral stricture repair after failed hypospadias surgery. Mean time after primary surgery was 7.2 years (range 4 to 13). Vascularized periurethral tissue around the stenotic part of the neourethra was dissected. The urethra was opened ventrally and a buccal mucosal graft of appropriate size was inserted to allow urethral augmentation. Using several U stitches the graft was anchored to the surrounding periurethral tissue to prevent its folding and retraction. Recurrent chordee in 12 patients and secondary vesicoureteral reflux in 3 were also corrected at this time. Results: Mean followup was 37 months (range 17 to 73). Successful results were confirmed in all patients by urethrography and uroflowmetry. One urethral fistula was corrected 3 months later by minor surgery. Recurvature did not develop in this group. There was no recurrent reflux in endoscopically treated patients. Conclusions: Ventral buccal mucosal grafting is a simple, safe option for urethral stricture repair. Hanging the graft to periurethral tissue is important for its survival and to prevent postoperative folding and retraction. © 2011 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION AND RESEARCH, INC.hypospadiasmouth mucosatransplantsurethraurethral stricture