This study aims to compare the penile skin graft and buccal mucosal graft for substitution of long anterior urethral strictures using one-sided dorsal perineal approach.

Since previous studies were:

• Retrospective and very few were prospective randomized studies
• Some studies were done on lichen sclerosis cases that have an adverse effect on the PSG outcome.
• The follow-up duration was longer for PSG patients.
• Stricture length was usually longer for PSG cases.

This study aims to compare the PSG and BMG for substitution of long anterior urethral strictures using one-sided dorsal perineal approach.

The investigators hypothesize that:

❶ Conducting a well-designed prospective, randomized study can help identify which technique is better than the other.

❷ Using the one-side dorsal approach can improve the outcomes of both techniques and identify their advantages and disadvantages.

Inclusion Criteria:

• The study will include patients with long segment anterior urethral stricture (>2 cm).

Exclusion Criteria:

• Urethro-cutaneous fistula, urethral abscess or diverticulum.
• A scarred and unsalvageable urethral plate or scarred perineum.
• Lichen sclerosis (Balanitis xerotica obliterans).
• Unhealthy/unavailable buccal mucosa.

Patients' data sheet, patient consent forms through my E-mail: m0anwar2005@gmail.com

The data will be available after 1 year, and for 2 years.

My e-mail: m0anwar2005@gmail.com