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Muzafar Ibrahim
Muzafar Ibrahim

Public Documents 1
Combined BMG and Penile Skin Flap Urethroplasty for Gunshot Anterior Urethral Strictu...
Muzafar Ibrahim
Osama Mohamed

Muzafar Ibrahim

and 1 more

April 04, 2025
IntroductionGunshot to the external genitals is relatively uncommon and causes no harm to the life of the victim unless associated with other serious injuries (1), but the resultant urethral stricture can affect the quality of life considerably (2). Surgical treatment of anterior urethral stricture caused by gunshot injuries is usually challenging especially if delayed because of tissue loss and fibrosis that require excision of the affected part of the native urethra and circumferential repair of the defect (3). Historically staged urethroplasty was adopted using ither buccal mucosa graft BMG or penile skin graft or flap as urethral plate after appropriate excision of the fibrous urethra, then tubulerization is carried out after six months (3-4). Single-stage urethroplasty is recently gaining attention because it avoids the drawbacks observed in staged surgery. In this case, we will discuss the viability of single-stage combined BMG and penile skin flap urethroplasty as a good alternative with a satisfactory outcome.

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