Kulkarni Two-Stage Urethroplasty
Kulkarni's two-stage technique modifies the classic Johanson approach by incorporating penile skin or oral mucosal grafts at the first stage to create a wider, well-vascularized urethral plate before tubularization. This modification is particularly useful in lichen sclerosus (BXO) where native penile skin is diseased and unreliable. The technique is widely employed for complex penile or panurethral strictures requiring staged reconstruction.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Kulkarni SB, Barbagli G, Kirpekar D, Mireku K, Lazzeri M. "Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients." Eur Urol. 2009;55(4):945–54. PMID: 18951698
- Bracka A. "A versatile two-stage hypospadias repair." Br J Plast Surg. 1995;48(6):345–52. PMID: 7551533