Prepucial Graft Urethroplasty

Prepucial graft urethroplasty is a surgical procedure used to repair urethral strictures, utilizing graft tissue harvested from the foreskin (prepuce). This method is particularly suitable for patients with adequate foreskin tissue and is an effective alternative to other graft sources like buccal mucosa.

• Anesthesia: The surgery is typically performed under general or regional anesthesia.
• Graft Harvesting: A section of the prepuce (foreskin) is harvested. The prepuce is a good source of graft tissue due to its elasticity and compatibility.
• Urethral Reconstruction: The harvested prepuce is prepared and used to reconstruct the narrowed segment of the urethra. The graft is sutured into place, ensuring good vascularization to integrate with the urethral tissue.

• Biocompatibility: Prepucial tissue is well-suited for urethral reconstruction due to its similarity to urethral tissue and excellent vascularity.
• Minimally Invasive Harvesting: Harvesting prepuce tissue is less invasive and has fewer complications compared to other graft sources.
• High Success Rates: This method has demonstrated high success rates with long-term effectiveness.
• Reduced Morbidity: The donor site (foreskin) typically heals well with minimal discomfort or complications.

• Donor Site Morbidity: Though minimal, there can be some discomfort, swelling, or infection at the harvest site.
• Stricture Recurrence: As with all urethroplasty procedures, there is a risk of stricture recurrence, though it is relatively low.
• Complications: Potential complications include infection, bleeding, graft failure, fistula formation, or urinary incontinence.