Background: Urethral stricture is defined as the scarring involving the urethral epithelium or spongy erectile tissue of corpus spongiosum.The aim of the study was to compare the tunicavaginalis graft and buccal mucosa graft (BMG) urethroplasty for anterior urethral stricture with respect to intraoperative, postoperative parameters, and urethroplasty outcomes. Methods:This controlled clinical trial pilot study was carried out on 30 male patients aged >18 years with penile, penobulbar, and bulbar stricture, strictures >2.5 cm in length, and patients requiring repeated optical internal urethrotomy or dilatations. Twenty patients were allocated randomly into two equal categories: group I (BMG group) and group II (tunica vaginalis graft group). All patients were preoperativelyevaluated by complete history taking and full clinical assessment including general examination of chest, heart, abdomen and vitals and laboratory investigations including complete blood picture and renal function tests. Further evaluations were performed with preoperative retrograde urethrogram, voiding cystourethrogram, uroflowmetryand urethroscopy. Results:At 6 months, the successful outcome was 70 % in group I and was 60 % in group II, whereas at 12 months, the successful outcome was 80 % in group I and was 70 % in group II, with no significant difference between both groups regarding successful outcome at 6 and 12 months. Conclusions:Tunica vaginalis provides outcomes equivalent to those of BMG urethroplasty. Tunica vaginalis easy to perform, and beneficial in patients with poor oral hygienehygiene and complications that restricted BMG procedures.