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Penile Skin Flap Urethroplasty (Fossa Navicularis)

Penile skin flap urethroplasty for fossa navicularis and meatal stenosis uses a pedicled strip of non-diseased penile shaft skin to augment or replace the scarred distal urethral segment. The technique is particularly applicable when lichen sclerosus has spared the proximal penile shaft skin, providing well-vascularized tissue for distal reconstruction. Care must be taken to use only hairless, non-diseased skin to avoid intraluminal hair growth.

Indications​

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Technique Overview​

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Key Steps​

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Outcomes & Evidence​

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References​

  1. Jordan GH. "Reconstruction of the fossa navicularis." J Urol. 1987;138(1):102–4. PMID: 3599220
  2. Morey AF, McAninch JW. "When and how to use buccal mucosal grafts in adult bulbar urethroplasty." Urology. 1996;48(2):194–8. PMID: 8753728