Reconstruction of a total anterior urethral defect using buccal mucosa.
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.
Department of Urology, Tulane University School of Medicine, New Orleans, La. 70112, USA.
W J
WJ
Hellstrom
M
M
Monga
D
D
Cote
E
E
Harmon
D000368:Aged; D002610:Cheek; D003558:Cystoscopy; D003646:Debridement; D018934:Fournier Gangrene / Q000601:surgery*; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods*; D014522:Urethral Diseases / Q000601:surgery*; D014567:Urography