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Urethral Reconstruction

Urethral reconstruction encompasses a broad spectrum of surgical procedures used to restore luminal continuity and adequate caliber to the urethra following stricture, trauma, lichen sclerosus, failed prior surgery, or congenital anomaly. Techniques range from simple endoscopic dilation to complex multi-stage flap reconstructions using oral mucosa, penile skin, gracilis muscle, or bowel. Because the male and female decision spaces diverge substantially in anatomy, etiology, and preferred technique, this section splits into two cohort-specific landings — each with its own Decision Framework and searchable Treatment Database.

General Principles​

  • Principles of Urethral ReconstructionStricture staging, scar excision, tension-free anastomosis, graft-bed vascularity, oral mucosa selection, vessel-sparing techniques, staged repair, and early referral for definitive reconstruction.

Choose a Cohort​

  • Male UrethroplastyDecision Framework + searchable database of >30 techniques across 8 categories (anastomotic, free graft, pedicled flap, combined, staged, posterior/PFUI, distal-meatal-perineal, minimally invasive).
  • Female UrethroplastyDecision Framework + searchable database across F1–F8 categories (endoscopic, distal urethrectomy, flap, free graft, combined, urethral loss / obliteration, emerging, other reconstructive procedures).