Asopa’s technique for penile urethral recostruction
Enzo Palminteri, Elisa Berdondini.
Center for Reconstructive Urethral and Genitalia Surgery, Arezzo, Italy
The Video describes the dorsal graft urethroplasty for penile urethral strictures by ventral sagittal urethrotomy approach.
Materials and Methods
Patient with penile urethral stricture is treated by a dorsal buccal mucosa graft (BMG). Circumcision and degloving. The urethra is not separated from the corporal bodies and is opened ventrally in the midline over the stricture.
As Asopa suggested the exposed dorsal urethra is incised in the midline down to the tunica albuginea. The margins of the incised dorsal urethra are dissected from the tunica: an elliptical raw area is created over the tunica albuginea where the dorsal-inlay BMG is placed and quilted to the corpora to augment dorsally the urethral plate. The ventral urethrotomy is closed over the catheter.
After 10 days the catheter is removed.
The ventral sagittal urethrotomy approach for dorsal graft penile urethroplasty is successful and easy to perform.