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Urethral Reconstruction

Urethral reconstruction comprises the operations that restore luminal continuity and adequate caliber to the urethra after stricture, trauma, lichen sclerosus, failed prior surgery or congenital anomaly. Treatment ranges from endoscopic dilation for selected strictures to anastomotic, graft, flap and staged urethroplasty. Oral mucosa is a graft; penile skin can supply a graft or flap when suitable, gracilis muscle can support a complex repair, and bowel tissue is a selected salvage option.[1] Male and female anatomy, etiology and preferred technique differ substantially, so this section has two cohort-specific landings, each with its own Decision Framework and searchable Treatment Database.

General Principles​

  • Principles of Urethral ReconstructionStricture staging, scar excision, tension-free anastomosis, graft-bed vascularity, oral mucosa selection, vessel-sparing techniques, staged repair, and early referral for definitive reconstruction.

Choose a Cohort​

  • Male UrethroplastyDecision Framework and searchable database of 50 techniques across 8 categories (anastomotic, free graft, pedicled flap, combined, staged, posterior/PFUI, distal-meatal-perineal, minimally invasive).
  • Female UrethroplastyDecision Framework and searchable database across 7 categories (endoscopic, distal urethrectomy, flap, free graft, combined, urethral loss or obliteration, other reconstructive procedures).

References​

1. European Association of Urology. Urethral Strictures: Disease Management in Males. 2026. Official guideline.