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Table 1. Selection of published success rates for penile skin flaps in urethral reconstruction. Comments focus on unique features of
the study included
Technique Authors Year Patients Success Comment
[32]
Penile circular fasciocutaneous McAninch 1993 10 100% Relatively short follow-up (14 m). Proof of concept
flap urethroplasty (McAninch
Technique)
McAninch & Morey [34] 1998 66 79% Lower success with tubularized flap (58%)
[12]
Alsikafi et al. 2005 24 84% Forty-eight months follow-up. No significant
difference compared to buccal grafting (non-
randomized)
Dubey et al. [14] 2007 28 85.8% Randomized to skin flap vs. buccal mucosal graft. No
sig difference in recurrence. PROMs favored BMG
Whitson et al. [4] 2008 124 79% Success at 1 year (95%) declined over 10 years
follow-up (79%). Smoking, prior hypospadias, and
long strictures (7-10 cm) predictive of failure
[36]
Kim et al. 2014 29 69.9% Included combined tissue transfer
[28]
Longitudinal ventral penile skin Orandi 1972 21 95% Proof of concept
flap with lateral pedicle (Orandi
Technique)
Goel et al. [27] 2015 10 80% Four years follow-up. Small sample size
[37]
Hmida et al. 2019 77 88% Younger age (45) than most studies. All recurrences
managed with DVIU
[38]
Ali et al. 2019 42 85.7% Randomized to skin flap vs. buccal dorsal onlay. No
statistical differences. Short follow-up (~12 months)
[39]
El-Kassaby et al. 2021 34 88% Average length < 1 cm penile strictures
Transverse ventral penile skin flap Virasoro et al. [40] 2007 35 83% Fossa novicularis strictures. Included lichen sclerosis
with ventral pedicle (Jordan patients with lower success (50%). Extensive follow-
Technique) up (10 years)

Figure 1. Fascial anatomy of the penis.

Ventral transverse penile island flap with ventral pedicle (Jordan flap) [31]

Similar to the Orandi and Turner-Warwick flaps, this technique isolates a distal penile skin flap from
[28]
[30]
ventral penile skin. The pedicle is derived from bilateral ventrolateral arteries similar to the Turner-
Warwick . This technique is utilized in distal penile and fossa novicularis strictures and differs from other
[30]
techniques with a broader pedicle and comparatively smaller skin island. Like other techniques, this is