Buccal mucosal graft for secondary hypospadias repair and urethral replacement

Objective To assess the effectiveness of buccal mucosa in the treatment of complex hypospadias Patients and methods Seventeen patients had an onlay patch of buccal mucosa to reconstruct the urethra after failed previous surgery; five had a tubed buccal mucosal graft as an urethral replacement in the 'primary' repair of severe hypospadias. Results There were no complications in 19 patients; two developed fistulae and one a stricture due to graft narrowing. There were no meatal complications. Conclusion Buccal mucosa taken from the inner aspect of the lip is very suitable for reconstructing a failed hypospadias repair, especially when used as an onlay graft.