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Dávila et al. Plast Aesthet Res 2022;9:31 https://dx.doi.org/10.20517/2347-9264.2021.133 Page 7 of 12
Figure 3. Transurethral ventral buccal mucosa graft inlay urethroplasty for the reconstruction of fossa navicularis and distal urethral
[30]
meatus, as described by Nikolavsky. (A-E) Transurethral ventral shallow resection of scar tissue. Placement of double-armed suture
through buccal graft and through the apex of urethrotomy (inside out). External apical suture tying, meatal BMG edge fixation, and
additional inside-out quilting of the graft with double-armed sutures (reproduced with permission from Springer Science and Business
[30]
Media Dordrecht ).
Figure 4. Intraoperative demonstration of the procedure described in Figure 3 (reproduced with permission from Springer Science and
Business Media Dordrecht [30] ).
Figure 5. Schematic illustration of single-stage, combined flap graft technique as described by Gelman. (A-C) Oral mucosal graft is
placed and quilted dorsally followed by the closure of the urethrotomy defect by a penile skin flap (from Gelman and Sohn [31] ).
goal was to correct all defects in a single-stage reconstruction. They recommended this combined
reconstructive approach as a good and highly successful option for neourethral reconstruction with
