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Joshi et al. Plast Aesthet Res 2022;9:22 https://dx.doi.org/10.20517/2347-9264.2021.98 Page 7 of 10

Figure 4. Pedicled preputial tube urethroplasty.

Figure 5. (A) RGU showing long obliterative segment; and (B) “Q-fasciocutaneous flap”. RGU: Retrograde urethrogram.

Figure 6. Oral mucosal flap.

[Figure 7]. The catheter is removed after six weeks if a peri-catheter urethrogram does not show leakage.

[18]
6. Use of buccal mucosa graft (BMG) dorsally and flap ventrally:
This can be performed provided that inferior pubectomy and crural separation are not required. The
corpora cavernosa is required to quilt the oral graft dorsally. The penile skin flap is then apposed as ventral
onlay to reconstruct the neourethra.

7. Pedicled anterolateral thigh flap for reconstruction for urethral defects [19,20] :
Various vascularized tissues can be used to reconstruct the urethra. This can be a fasciocutaneous flap or a
fascia lata flap. Despite its common use for many soft tissue defects in clinical series, there are no reports on
[19]
the reliability of urethral defects. Ozkan et al. concluded that the flaps could be considered an excellent
and ideal alternative to the most used conventional methods for most urethral defects. However, such flaps