Will you consider doing a buccal graft for a chronic urethral stricture, unresponsive to dilation and internal urethrotomy?
Yes, of course. I believe in the past 5 to 10 years buccal grafts have emerged as an excellent method to replace and expand stricture for a narrow urethral segment. If a urethrogram has been done that could be helpful. Our experience in buccal repair has come from urethral extension in phalloplasty and metoidioplasty patients. Surprisingly the inner cheek heals up quite well and of course there are no external harvesting areas. The photos below are all with buccal grafts.
Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery – Miami