We describe our experience with 20 patients undergoing 1-stage correction of an anterior urethral stricture using a buccal mucosa patch graft. This technique was used for treatment of short strictures (1 to 2 cm.) that usually required a 2 to 4 cm. repair, making excision and end-to-end anastomosis impractical. Results were excellent in 18 patients, while 2 required revision for recurrent stricture. Urethrocutaneous fistulas and diverticulas were not encountered in our series. The buccal mucosa patch graft is hairless and, therefore, it can tolerate trauma and infection adequately. This technique represents a reasonable alternative when penile skin cannot be used or endoscopic manipulation is not indicated.

Urethral meatal stenosis is common, producing about 5 per cent of all new patients in paediatric urologist office [1]. It may be congenital or acquired. The acquired type can follow repeated urinary tract infection or urethral instrumentation. Herein we present an eversion meatoplasty which is a simple technique that can be done even under local infiltration anaesthesia especially in children older than 10 years. This technique was applied in 100 cases. The results were excellent, apart from urinary spraying in the first few days that was noticed in 13 cases and disappeared spontaneously. Restenosis was not encountered in any of our cases.

We describe a new procedure in which dorsal penile skin is used to correct hypospadias in circumcised patients and those in whom surgical correction usually is difficult. Of 48 hypospadiac patients treated by this technique 26 (54 per cent) had been circumcised previously, while 22 (46 per cent) had undergone a prior hypospadias repair that resulted in marked tissue scarring and fistulas. The procedure is accomplished in 2 stages. In stage 1 the urethra is reconstructed and the penis is buried in the scrotum. Separation is done after an average of 6 weeks (stage 2). The results were satisfactory in 45 patients and in all cases a viable new urethra of adequate caliber and length was created with the end at the tip of the glans. The procedure is simple and safe, and complications were minimal.

Our urethroplasty technique can be used to correct various types of anterior urethral stricture or hypospadias associated with insufficient penile or preputial skin.

Our urethroplasty technique can be used to correct various types of anterior urethral stricture or hypospadias associated with insufficient penile or preputial skin.