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Urethra (urethroplasty)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Urethral reconstruction is used particularly to correct urethral stricture in the young or following repeated recurrence after urethrotomy.

A variety of techniques may be used:

  • excision and primary re-anastomosis - particularly for for short strictures in the bulbar urethra

  • excision and substitution:
    • free tissue grafts - using full-thickness skin, buccal mucosa or bladder mucosa
    • vascularised flaps - particularly from the hairless prepucial or penile skin

  • staged procedures - particularly for long strictures and ones that have been unsuccessfully repaired previously. The first stage is concerned primarily with the excision of non-viable tissue. Later stages concentrate on retubularisation of the urethra.

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