Author(s): Ahmed S, Gough DC
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Abstract 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.
This article was published in Br J Urol
and referenced in Reconstructive Surgery & Anaplastology