Surgical Management of Fossa Navicularis and Distal Urethral Strictures

  • Michael Daneshvar
  • Michael Hughes
  • Dmitriy Nikolavsky
Surgery (J Simhan, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Surgery


Purpose of Review

Urethral reconstruction has evolved in the last several decades with the introduction of various techniques including fasciocutaneous skin flaps and buccal mucosal grafts. However, distal urethral strictures have continued to be a reconstructive challenge due to tendency for adverse cosmetic outcomes, risks of glans dehiscence or fistula formation, and stricture recurrence.

Recent Findings

The surgical options for treatment of distal urethral strictures have changed throughout the years; however, there is no one universally accepted technique for their treatment. The current trend for treatment is shifting away from multi-staged procedures or the use of local skin flaps to single-stage transurethral procedures that utilize buccal mucosa with glans preservation.


This chapter will describe the evolution of distal urethral stricture treatments tracking gradual improvements and modifications over time. The different interventions include transurethral approaches, such as dilations and visual urethrotomy, meatotomy, and meatoplasty/urethroplasty techniques including genital skin flaps and single- and double-stage repairs with buccal mucosal grafts.


Urethral reconstruction Fossa navicularis stricture Distal urethral stricture Buccal mucosal graft Tissue flap Balanitis xerotica obliterans 


Compliance with Ethical Standards

Conflict of Interest

Michael Daneshvar, Michael Hughes, and Dmitriy Nikolavsky each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Michael Daneshvar
    • 1
  • Michael Hughes
    • 1
  • Dmitriy Nikolavsky
    • 1
  1. 1.SUNY Upstate Medical UniversitySyracuseUSA

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