Table 3.

Useful points to remember when undertaking buccal mucosal grafts for reoperative hypospadias

Grafts should be oversized by 20% to account for shrinkage

Meticulous ‘defatting’ is required for good take

Lower lip grafts being thinner are preferred for the glans and meatal area

Grafts should be securely quilted in position both in the center and at the edges

Compression ‘tie over’ dressing for 10 days is essential for good graft take

Monthly review is useful to assess focal scars which can be regrafted prior to tubularization

Tubularization can be done in 4–6 months time. Grafts can be left open to air without undue effects

Cheek donor areas can be closed primarily

Lower lip donor area should be left open

Dairy products should be avoided for 72 hours to speed-up healing