ABSTRACT
Although the ideal treatment for short anterior urethral strictures is segmental excision with spatulated reanastomosis, complex strictures measuring more than 2-3 cm are often not amenable to resection. For intermediate and long urethral strictures, urethral substitution via the use of penile island skin flaps has become a popular and effective therapeutic option. This chapter reviews the indications for penile skin flap urethroplasty and details the surgical considerations which promote optimal outcomes.
