Use of bladder and buccal mucosal graft in complex urethral reconstruction

G. Carmignani, S. De Stefani, A. Simonato, M. Capone

Research output: Contribution to journalArticlepeer-review


The use of free mucosa graft in urethral reconstruction was introduced for the first time by Memmelaar in 1947. However, the experience of others was not satisfactory and this operation was not used for many years. Recent advancements and refinements in surgical techniques for hypospadias repair have modified the results and made success more likely. The present report concerns personal experience in complex urethral reconstruction. Each surgical step is described in detail in order to codify the technique and to obtain more reliable and standardised results. It is also emphasised that indications for free mucosal graft are confined to these severe forms of hypospadias which cannot be corrected with a pedicled patch or tube of preputial skin. In fact, this technique represents a modern advancement in 'one-step' hypospadias repair but, like other difficult operations, is burdened by a few shortcomings and operative unpredictability and must, therefore, be reserved for more experienced and skilled surgeons.

Original languageEnglish
Pages (from-to)19-22
Number of pages4
JournalActa Urologica Italica
Issue number1
Publication statusPublished - 1993


  • 'one-step' urethral reconstruction
  • free mucosa grafts
  • microsurgical techniques
  • severe hypospadias

ASJC Scopus subject areas

  • Urology

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