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Historical and Current Practices in the Management of Fossa Navicularis Strictures
Brian J Friel1, Alexander J Skokan1, Robert Caleb Kovell2
1The University of Pennsylvania System, University of Pennsylvania, Philadelphia, PA, USA.
Purpose Of Review:
Fossa navicularis strictures represent a surgically challenging disease process that requires detailed preoperative planning and an understanding of each patient's goals in order to achieve a satisfactory long-term outcome. This review summarizes the various approaches used in the management of fossa navicularis strictures over the past several decades.
Recent Findings:
In addition to existing evidence to support open flap- and graft-based reconstruction, recent studies suggest a potential role for limited open repair via a transurethral approach. Open repair of fossa navicularis strictures has become the standard of care with high success rates using local skin flaps or tissue grafts. There remains a very limited role for minimally invasive techniques in definitive management of this disease.
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