RECONSTRUCTION OF A TOTAL ANTERIOR URETHRAL DEFECT USING BUCCAL MUCOSA

Extensive urethral defects in the presence of insufficient local skin can challenge the reconstructive urologist. We report a case of comple te anterior urethral loss due to Fournier's gangrene that was successf ully reconstructed using autologous buccal mucosa. A 17.5 x 2.5 cm tub e graft was harvested, extending from the left to right buccal regions along the lower labial fold, At long-term follow-up, the patient had an acceptable cosmetic result with maintenance of potency and the abil ity to urinate, Buccal mucosal grafts are a viable alternative for cas es of near-total urethral reconstruction.