Reconstruction of a total anterior urethral defect using buccal mucosa
Hellstrom, W.J.; Monga, M.; Cote, D.; Harmon, E.
Southern Medical Journal 89(11): 1088-1091
1996
ISSN/ISBN: 0038-4348 PMID: 8903293 Document Number: 468557
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 times 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.