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Sliding T Dorsal Inlay

The sliding T dorsal inlay technique uses a T-shaped glans flap to reconstruct the fossa navicularis and distal urethra by advancing local tissue in a tension-free fashion. The vertical limb of the T is inlaid dorsally into the opened fossa while the horizontal limb covers the external defect, creating a wide, well-vascularized meatal opening. This elegant local tissue technique avoids the need for a free graft in selected cases of distal urethral stenosis.

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. Morey AF, McAninch JW. "Technique of repair of fossa navicularis and distal urethral strictures." Oper Tech Urol. 1998;8:75–81.
  2. Armenakas NA. "Current methods of diagnosis and treatment of urethral strictures." AUA Update Series. 1999;18:153–9.