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Zisman et al. Plast Aesthet Res 2022;9:15 https://dx.doi.org/10.20517/2347-9264.2021.113 Page 9 of 10

Table 2. Our single center experience with transgender urethral stricture disease
One stage
One stage urethroplasty Staged urethroplasty Perineal
Procedure urethroplasty with DVIU Total
with local skin flap BMG with BMG urethrostomy
Number (%) 6 (33%) 2 (11%) 3 (16%) 2 5 (27%) 18
(11%)
Failures n (%) 2 (33%) 1 (50%) 2 (66%) 1 0 7
(50%)

BMG: Buccal mucosa graft; DVIU: direct vision internal urethrotomy.

Figure 6. Second stage urethral stricture repair using BMG for abdominal phalloplasty. (A) Buccal mucosa graft 6 months after the first
surgery. (B) Dissection of the lateral edges of the BMG. (C) Neo-urethral tabularization over catheter. (D) Phallos after repair. BMG:
Buccal mucosal grafts.

procedure that may require multiple surgeries. Perineal urethrostomy may be a salvage option for patients
who have undergone multiple failed prior attempts at repair.

DECLARATIONS
Authors’ contributions
Made substantial contributions to conception and design of the study and performed data analysis and
interpretation: Zisman A, Baiocco JA, Purohit RS
Performed data acquisition, as well as provided administrative, technical, and material support: Zisman A,
Baiocco JA, Purohit RS
Provided the figures: Purohit RS

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
IRB research number: STUDY-20-01505.