Related Experiment Video
Updated: Aug 15, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Buccal mucosal graft for secondary hypospadias repair and urethral replacement
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.
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