Kulkarni One-Stage Panurethral Urethroplasty
Kulkarni's one-stage panurethral urethroplasty employs a single perineal incision with preservation of one-sided bulbospongiosus muscle and vas deferens to reconstruct the entire urethra from the meatus to the bulb using buccal mucosal grafts. The technique avoids penile skin incisions and achieves broad urethral coverage in a single operative setting. It is a landmark contribution to the management of long-segment lichen sclerosus–associated stricture disease.
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
- Kulkarni S, Barbagli G, Sansalone S, Lazzeri M. "One-sided anterior urethroplasty: a new dorsal onlay graft technique." BJU Int. 2009;104(8):1150–5. PMID: 19428584
- Kulkarni SB, Barbagli G, Kirpekar D, Mireku K, Lazzeri M. "Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients." Eur Urol. 2009;55(4):945–54. PMID: 18951698