fig4

Figure 4. Second stage: tunneling of the tubularized bladder mucosa free graft. (A) With the need for a 16 cm urethroplasty, the erection test showed the absence of residual curvature. (B) Creation of the tunnel: the perineal dissection is done by sharp instrument until the exposure of the albuginea of the corpus cavernosa. A midline incision is done at the expected site of the meatus. Progressive dilatation with metallic bougie is done to achieve an easy passage of a bougie equal to Ch 18. (C) Tubularization of the free graft around a 16 Ch Foley catheter.