FREE FULL THICKNESS SKIN-GRAFT URETHROPLASTY - CURRENT TECHNIQUE

We present details of our current techniques for skin graft urethroplasty. We believe that careful attention to the details of these operative techniques is important to their success. The changes from our previous reports include: preparation of patch grafts with rounded ends, preparation of tube grafts with fishmouth spatulation, fixation of the stent catheter to the anterior abdominal wall, leaving a stent catheter inlying for 2 weeks and replacing with a smaller catheter if a voiding cystourethrogram shows extravasation, fixation of the graft during preparation by dermatome adhesive, irrigation of the wound with irrigant before closure and urodynamic flow-study for non-invasive postoperative followup.