Excision and Circumferential Buccal Graft for Severe Meatus and Fossa Navicularis Strictures.

OBJECTIVE

To demonstrate our technique for glans sparing transurethral excision and circumferential buccal graft for severe strictures of the meatus and fossa navicularis.

MATERIALS AND

METHODS

Key steps of the procedure are use of a fixed retractor and stay sutures to retract the glans skin laterally, preplacing urethral sutures to improve visualization, and dividing the buccal graft in half so that dorsal and ventral portions of the anastomosis can be performed separately.

RESULTS

As demonstrated in the video, this approach allows for the effective treatment of challenging meatus and fossa navicularis strictures while avoiding postoperative glans dehiscence and minimizing disruption of glans vasculature and sensation.

CONCLUSION

Glans sparing transurethral excision and circumferential buccal graft is an effective technique for severe strictures of the meatus and fossa navicularis.