Figure 10.

(a, b, and c) The graft is stabilized on a silicone board using insulin needles. Once all submucosal tissue is carefully excised with iris scissors (a), the graft is tailored according to site, length, and stricture characteristics. While removing all the submucosal tissue, it is paramount to not excessively thin the graft, as thin grafts are more likely to heal with contracture. If the preparation of the graft is adequate, an average 4 cm long graft will stretch up to 6 cm due to the intrinsic elasticity of the mucosa (b and c). Two 6 cm long grafts (one from each cheek) are enough to repair the vast majority of penile or bulbar strictures using one-stage techniques