More recently, there has
been interest in whether to excise and anastomose or to carry out a stricturotomy and reanastomosis
using a Heineke-Miculicz technique. Augmentation urethroplasty has evolved towards
the more extensive use of oral mucosa grafts as compared to penile skin flaps, as both flaps and
grafts have similar efficacy and certainly the use of either dorsal or ventral positioning seems to
provide comparable results.