In the present paper, Dr. Giudice in a interesting prospective study with the use in a single procedure the combination of dorsal onlay oral mucosa graft and ventral fasciocutaneous penile skin flap in in 21 patients with long segment urethral obliteration and shows that in only 14% of the patients the procedure failed. There are several options for the treatment of anterior urethral stricture (2-4). For long anterior strictures the use of grafts is very usual (4-6). The buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (2, 7). In this paper the authors shows that the combination of the two methods (dorsal onlay oral mucosa graft and ventral fasciocutaneous penile skin flap) could be a great option in complex cases of penile urethral stricture.