Skin graft urethroplasty.

Objectives : To evaluate the results of skin graft urethroplasty (SGU) in t he management of urethral stricture. Material and Methods : Twenty eight patients, with a mean age of 54 years, treated by SGU were reviewed with a mean followup of 24.5 months (range : 1 -66). The first-line material skin graft material was the foreskin or; in i ts absence, the penile skin or Skirt Of the arm was used. Results : This study demonstrated a satisfactory result (no clinical signs, maximum flow rate greater than or equal to 15 ml/s, no need for salvage su rgery) in 67.9% of cases. Although the early complication rate was low, 8 s tenoses were observed during subsequent follow-up; 3 of which required open surgical revision. The other relapses were treated by internal urethrotomy or hetero- or autodilatations. This study showed that urine sterility at t he time of surgery was a decisive factor. Conclusion : The preferential indication for this type of throplasty remain s a bulbar urethral stricture with sterile urine. However, the aetiology an d length of the stricture are not discriminant factors.