Single-stage combined urethroplasty for extended strictures of the anterior urethra of tuberculous origin

Background . Urethral strictures are currently one of the most complex pathologies in reconstructive urology. The promising direction this area is development single-stage surgical interventions that meets modern requirements for quality life patients. aim study To evaluate possibility and effectiveness treatment extended recurrent tuberculous urethral men using a combination skin flap buccal graft. In literature, there no description use technique patients with tuberculosis. Materials methods We observed 44 Three from group were diagnosed (post-tuberculous) stricture anterior urethra they underwent combined urethroplasty ventral fasciocutaneous graft inlay method penile region onlay bulbous urethra. Ultrasound served as determines performing surgery case maintaining sufficient width plate moderate degree spongiofibrosis. Results Patients under observation 34, 50 54 months have good long-term functional results – all unassisted urination residual urine. Post-micturition dribbling persists 1 patient. overall these strictures, taking into account repeated cases disease recurrence, high. Conclusion This demonstrates reconstruction also applicable other origins.