Case Report

Reconstruction of a Total Anterior Urethral Defect Using Buccal Mucosa

Authors: WAYNE J. G. HELLSTROM MD, MANOJ MONGA MD, DONALD COTE MD, EDWIN HARMON MD

Abstract

ABSTRACT: Extensive urethral defects in the presence of insufficient local skin can challenge the reconstructive urologist. We report a case of complete anterior urethral loss due to Fournier's gangrene that was successfully reconstructed using autologous buccal mucosa. A 17.5 x 2.5 cm tube graft was harvested, extending from the left to right buccal regions along the lower labial fold. At long-term follow-up, the patient had an acceptable cosmetic result with maintenance of potency and the ability to urinate. Buccal mucosal grafts are a viable alternative for cases of near-total urethral reconstruction.

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References