Mesh-graft urethroplasty: our experience with a new procedure.

From 1977 to December 1983 a total of 64 patients with posterior, anterior or extended urethral stricture have been treated by using free-foreskin grafts after the mesh transplant procedure. This operation is completed as a two-stage procedure. Of paramount importance for success is the open and dry treatment of the graft to assure an ideal situation for later reconstruction. Healing without the formation of fibrous tissue is the rule. In 63 patients this method was applied with an excellent anatomical and functional result. The most important indications are recurrent strictures after several operations, extended strictures of the whole length of the urethra, strictures with chronic inflammations, as well as problematic strictures in paraplegics.