Excision and Circumferential Buccal Graft for Severe Meatus and Fossa Navicularis Strictures.

Abstract:

OBJECTIVE:To demonstrate our technique for glans sparing transurethral excision and circumferential buccal graft for severe strictures of the meatus and fossa navicularis. MATERIALS AND METHODS:Key steps of the procedure are use of a fixed retractor and stay sutures to retract the glans skin laterally, preplacing urethral sutures to improve visualization, and dividing the buccal graft in half so that dorsal and ventral portions of the anastomosis can be performed separately. RESULTS:As demonstrated in the video, this approach allows for the effective treatment of challenging meatus and fossa navicularis strictures while avoiding postoperative glans dehiscence and minimizing disruption of glans vasculature and sensation. CONCLUSION:Glans sparing transurethral excision and circumferential buccal graft is an effective technique for severe strictures of the meatus and fossa navicularis.

journal_name

Urology

journal_title

Urology

authors

Ehlers M,Figler BD

doi

10.1016/j.urology.2020.09.008

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

304

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(20)31151-1

journal_volume

146

pub_type

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