Urethroplasty

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Urethroplasty is the name of the surgical procedure to reconstruct, fabricate, or repair the urethra. It is indicated for:

• Genital realignment surgery
• Correction of congenital defects of the urinary anatomy
• Correction of severe stenosis (narrowing) of the urethra
• Emergency medicine in case of trauma

Commonly, this involves removal and end-to-end anastomosis (suturing together) for shorter strictures (narrowing of a part of the urethra) or grafting using mucosal tissue for longer ones.

As part of GRS

For trans men during metoidioplasty or phalloplasty, it is the extension of the native urethra to the glans penis to allow voiding while standing and to complete vaginectomy. This is typically done with mucosa from the vaginal lining, mouth, or experimentally, from the intestines. A novel use of engineered tissue may allow a urethra to be printed in a lab rather than grafted from another section of the body.

For trans women, this is usually done during reassignment surgery to shorten the native urethra, and relocate its external os (opening). In the case of post operative urinary complications, the location can be revised. In the case of sexual complications, excess erectile tissue surrounding the urethral meatus can be trimmed.

• 

  Buccal mucosa graft urethroplasty; first stage.

• 

  Second-stage, same patient

References

• A New Method of Urethroplasty for Prevention of Fistula in Female-to-Male Gender Reassignment Surgery

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