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Single-Stage Prepucial Flap Urethroplasty

The single-stage prepucial flap urethroplasty harvests inner prepucial skin as a pedicled island flap rather than a tube, applying it as an onlay to the opened urethral plate. This avoids the higher complication rates of tubularization while still utilizing the well-vascularized prepucial tissue. It is suitable for moderate-length penile urethral strictures in uncircumcised patients with healthy foreskin.

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. Duckett JW. "Transverse preputial island flap technique for repair of severe hypospadias." Urol Clin North Am. 1980;7(2):423–30. PMID: 6996372
  2. Jordan GH. "Reconstruction of the fossa navicularis." J Urol. 1987;138(1):102–4. PMID: 3599220