Table 2. Summary of types of urethroplasties performed in more complicated male lichen sclerosus cases.
Type of urethroplasty | Indications | Details of technique | Results |
---|---|---|---|
One-stage | Adequate urethral plate, corpus
spongiosum, dartos fascia and skin 42 |
Dorsal urethrotomy
Graft attachment to corpora cavernosa |
91% success rate
(32.5 months follow-up) 43 |
Two-in-one stage 42 | No previous operation
Navicular fossa involvement Adequate dartos fascia |
Spongiofibrosis excision
Create neo-urethral plate with buccal mucosa |
90% success rate
(16 months follow-up) |
Two-stage 38, 39 | Limited urethral plate | Graft attachment to tunica albuginea
Maturation of graft Tubularisation of urethral plate |
73 to 82% success rate |
Perineal urethrostomy 44, 45 | Recurrent urethral stricture disease
or complex disease |
Wide-based flap with an inverted U incision or
the perineumbor using the 7-flap |
93% success rate |