Introduction
The video shows the surgical technique described for the first time by Asopa for penile urethral strictures by the ventral-sagittal urethrotomy approach and with a dorsal buccal mucosa graft without mobilizing the urethra.
Material and methods
Patient 57 years old with a 3 cm long penile stricture.
Surgical technique: after preputial degloving, the stenotic urethra is not detached from the corpora cavernosa but opened by means of a ventral-sagittal incision. Then the scarred urethral plate is incised in the midline to create an elliptical area over the tunica albuginea where the dorsal-inlay buccal mucosa graft is placed and quilted to the corpora to augment the urethral plate dorsally. Finally, the urethral plate dorsally augmented by Asopa is ventrally tubularized over the catheter.
Results
After 10 days we removed the catheter: no fistulae and no short term complications were evident.
Conclusion
The penile dorsal-inlay graft urethroplasty as suggested by Asopa through the ventral urethrotomy approach, is a simple technique, with a low risk of complications which instead are typical of the surgery with flaps.
