Dorsal onlay graft bulbar urethroplasty using buccal mucosa

In 1996, Barbagli described the use of the free graft from Devine's technique with the dorsal urethral opening from Monseur's technique. Such technique was termed new dorsal onlay graft urethroplasty or Barbagli's procedure. It can be used for penile urethral stricture repair and different types of dorsal onlay graft urethroplasty for bulbar urethral stricture repair. The current paper describes, step by step, Barbagli technique of dorsal onlay graft bulbar urethroplasty using buccal mucosa. The preoperative patient evaluation and postoperative course and follow-up are finally showed.