Abstract Objective：To discuss and evaluate the clinical outcomes of using buccal mucosa ucosa graft（ BMG） with 1-stage reconstruction in short distal urethral strictures.Method：This retrospective study consisted of 25 patients with short distal urethral strictures underwent 1-stage urethral reconstruction using buccal mucosa graft between 2008 and 2013.Stricture was limited to the glanular urethra in all cases. Strictured urethra was resected 0.5 cm proximal to the
healthy urethra and a rectangular BMG with 3 cm length and 1.5 to 2.0 cm width（ depending on the length of the defect）was rolled on a 22-Fr silicone urinary catheter.Proximal and distal edges of the BMG were anastomosed circumferentially to the healthy mucosa and meatus， respectively. Urethral catheter was removed within 12-14 days.Follow-ups included uroflowmetric parameters， voiding symptoms， and cosmesis were assessed. Result： The patients were followed for 12-60 months postoperatively（ mean 32 months）.Twenty-one（84.0%） patients were cured. Three patients developed stricture at proximal anastomotic site， and one patient developed early graft loss.Conclusion：Buccal mucosa graft has advantages of easy material availability， simplified preparation and strong anti-infection. Our results suggest BMG is an excellent choice in 1-stage reconstruction of distal strictures confined to the glanular urethra because the glans penis has a good blood supply， providing an efficient circumferential graft take.
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