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Two-Stage Anterior Urethral Reconstruction

Two-stage urethroplasty in long, complex anterior urethral strictures.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Two-Stage Anterior Urethral Reconstruction?

Two-stage anterior urethral reconstruction (Bracka technique) is a procedure used in long anterior urethral strictures, hypospadias failures and lichen sclerosus-related strictures.

Stage-1 places a buccal mucosa graft on the urethral plate and waits for it to mature; stage-2 (typically after 6 months) tubularises the matured graft to form the neo-urethra. It offers higher success than single-stage urethroplasty in particularly severe stricture cases.

Symptoms

Recurrent anterior urethral stricture
Long stricture (>5 cm)
Hypospadias failure (multiple operation history)
Lichen sclerosus stricture
Severe periurethral fibrosis
Recurrence after single-stage urethroplasty

Risk Factors

Long-segment stricture (>5 cm)
Lichen sclerosus (BXO)
Multiple urethrotomy history
Hypospadias failure
Severe penile chordee
Local poor tissue conditions

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent anterior urethral stricture
  • Hypospadias failure - reconstruction need
  • Severe penile lichen sclerosus + stricture
  • Recurrence after single-stage urethroplasty
  • Long-segment urethral stricture

Treatment Methods

01
Stage 1: Stricture dissection and oral mucosa graft placement
02
Buccal mucosa harvest (4-7 cm graft)
03
Quilting sutures (graft fixation)
04
Maturation (waiting 6 months)
05
Stage 2: Tubularisation (formation of neo-urethra)
06
Cystourethrography (post-procedure assessment)
07
Long-term follow-up (uroflowmetry every 6 months)
08
Counselling about restenosis risk (5-15%)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.