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. 2020 May 15;9:F1000 Faculty Rev-369. [Version 1] doi: 10.12688/f1000research.21529.1

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