The Use of Flaps and Grafts in the Treatment of Urethral Stricture Disease

Figure 7

Graft/flap combination. (a) The obliterated urethra is incised proximally until a healthy, widely patent lumen is encountered. (b) The buccal graft is spread fixated to the corpora cavernosa, after which a penile skin flap is rotated ventrally onto the graft to create a new lumen. In cases where there is a deficiency of urethra within the fossa and a lack of a groove within the glans penis, a defect is created and the BMG is extended into the glans.

(a)

(b)