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Review
. 2014 Jun;3(2):163-9.
doi: 10.3978/j.issn.2223-4683.2014.04.02.

Distal urethroplasty for fossa navicularis and meatal strictures

Elodi J Dielubanza  1 , Justin S Han  1 , Chris M Gonzalez  1
Affiliations
Review

Distal urethroplasty for fossa navicularis and meatal strictures

Elodi J Dielubanza et al. Transl Androl Urol. 2014 Jun.

Abstract

Distal urethral strictures involving the fossa navicularis and meatus represent a unique subset of urethral strictures that are particularly challenging to reconstructive urologists. Management of distal urethral strictures must take into account not only maintenance of urethral patency but also glans cosmesis. A variety of therapeutic approaches exist for the management of distal urethral strictures, including dilation, meatotomy, extended meatotomy, flap urethroplasty, and substitution grafting. Common etiologies for distal urethral strictures include lichen sclerosus, instrumentation, and prior hypospadias repair. Proper patient selection is paramount to the ultimate success and durability of the treatment, which should be individualized and include an assessment of the stricture etiology, location, and burden, and patient-centered goals of care.

Keywords: Urethra; anterior urethral stricture; treatment outcome.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Lichen sclerosus related stricture disease.
Figure 2
Figure 2
Hypospadias failure.
Figure 3
Figure 3
Excision of lichen sclerosus/strictured urethra.
Figure 4
Figure 4
Staged substitution urethroplasty. (A) 1st stage buccal mucosa graft; (B) 2nd stage tubularization of urethral plate; (C) 2nd stage tubularization with tunica vaginalis flap overlay from right testis.
See this image and copyright information in PMC

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