Abstract
Staged urethroplasties are characterized by a planned repair involving more than one surgery to fix a urethral stricture, obliteration, diverticulum, fistula, or combination of the above. Common indications for a staged urethroplasty included failed hypospadias surgery, multiple prior urethroplasty failures, and strictures associated with lichen sclerosus. Because excision and primary anastomosis has a significant potential to produce postoperative chordee, staged procedures are more commonly used in the penile urethra relative to the bulbar urethra. Free tissue transfer is inherent to staged urethroplasties; common donor sources include buccal mucosa and split thickness skin. Preservation of the native urethral plate in selected cases allows maximization of donor graft with limited availability. A technical description of the staged urethroplasty is followed by a review of published success rates, which range from 73 to 100 %. Common complications of a staged repair include need for additional revisional surgery, fistula, postoperative curvature, and recurrent stricture.
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McClung, C., Wessells, H. (2014). Staged Urethroplasty. In: Brandes, S., Morey, A. (eds) Advanced Male Urethral and Genital Reconstructive Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-7708-2_20
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DOI: https://doi.org/10.1007/978-1-4614-7708-2_20
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