fig3

Figure 3. Second stage repair. (A) Preoperative appearance. Lines are marked on the penis ventrally and for scrotal flap mobilization. (B) The buccal mucosa graft is harvested for the urethral reconstruction and positioned dorsally. The longitudinal scrotal skin flap is mobilized with abundant vascular pedicle. (C) Urethroplasty is performed by anastomosis of the longitudinal scrotal skin flap and buccal mucosa graft. All suture lines are covered with vascular tissue. (D) Final appearance. The urethral stent is positioned inside the neourethra. Penile and scrotal skin reconstruction is performed using available genital skin. Penrose drain is placed.