Johanson Two-Stage Urethroplasty
Johanson's two-stage urethroplasty is the historic reference technique for complex panurethral or recurrent stricture disease where single-stage repair is not feasible. In the first stage, the urethra is opened and marsupialized to the perineal skin. After a period of tissue maturation (typically 3–6 months), the second stage creates a new urethral tube by tubularizing the epithelialized strip. This approach remains an important salvage option when prior reconstructions have failed.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Johanson B. "Reconstruction of the male urethra in strictures. Application of the buried intact epithelium technique." Acta Chir Scand Suppl. 1953;176:1–103.
- Bracka A. "A versatile two-stage hypospadias repair." Br J Plast Surg. 1995;48(6):345–52. PMID: 7551533