One-stage urethroplasty using skin graft

  • Introduction
  • F.A.Q.
  • Results
The surgical technique of “One-stage penile urethroplasty with skin or oral mucosal graft” is made by opening the urethra at the level of the stricture site and widening the urethral lumen by applying a skin or oral graft. There are three basic types of One-stage penile urethroplasty:

  • One-stage penile urethroplasty using skin flap. Using this technique, the urethral plate is augmented using a skin penile flap (figure 1).
  • One-stage penile urethroplasty with oral mucosal graft. Using this technique, the urethral plate is augmented by a transplant of an oral graft (figure 2).
  • One-stage penile urethroplasty with skin graft. Using this technique, the urethral plate is augmented by a transplant of a skin graft (figure 2).

The surgical technique of One-stage penile urethroplasty with skin or oral mucosal graft is generally suggested in the following cases:

  • patients no-obliterative penile urethral strictures, more than 2 cm in length (figure 3).

Figure 1

Figure 2

Figure 3

1. Question: What kind of anesthesia is used for this surgery?
Answer: General anesthesia with oro-tracheal tube.

2. Question: How many hours does the surgery take?
Answer: About 1 hour.

3. Question: Are there any risks concerning erection, fertility and urinary incontinence after the surgery?
Answer: No, there aren’t.

4. Question: How many days of hospital recovery are expected following the surgery?
Answer: In general, from 5 to 7 days.

5. Question: How long will I have to use a catheter after the surgery? Is it painful to use the catheter?
Answer: The catheter must stay in place for two or three weeks after the surgery. The catheter is well tolerated because of its small diameter.

6. Question: Are there any particular recommendations during convalescence?
Answer: During convalescence, the use antibiotics until the catheter is removed is suggested. Avoiding long car trips, as well as heavy labor and sexual and sports activities are also suggested.

7. Question: When will I be able to resume my working, sexual and sports activities?
Answer: All these activities can be gradually resumed about 30 days after the removal of the catheter.

8. Question: Can I ride a bike or a motorcycle immediately after the surgery?
Answer: Yes.

9. Question: What kinds of foods and drinks should be avoided after the surgery?
Answer: Beer and sparkling wines should be avoided, as well as large quantities of chocolate, cocoa, nuts and shellfish.