This is a blinded, randomized, controlled trial following patients undergoing buccal urethroplasty (see criteria). This study will aim to assess three established anesthetic protocols for oral pain control. Each study arm holds equal weight. Approximately 60 subjects will be randomized in a 1:1:1 ratio to receive the following graft harvest techniques, which are all considered standard of care.
Group 1: Current Buccal Harvest
* Infiltration of lidocaine 1% with 1:100,000 epinephrine (maximum 10cc)
* Graft site hemostasis with monopolar cautery
* No suture closure of graft site
Group 2: Basic buccal procedure + Long acting local
* Infiltration of lidocaine 1% with epinephrine (maximum 10cc)
* Graft site hemostasis with monopolar cautery
* No suture closure of graft site
* 0.5% Marcaine (maximum 5cc) at case conclusion
Group 3: Basic buccal procedure + Buccal block
* Infiltration of lidocaine 1% with epinephrine (maximum 10cc)
* Graft site hemostasis with monopolar cautery
* No suture closure of graft site
* Buccal block with 0.5% Marcaine (maximum 5cc) at case conclusion
