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Peer-reviewedCC BY-NC-NDUrology case reports

Reconstructing the irradiated urethra: Double-Faced buccal mucosal graft urethroplasty after treatment of primary urethral cancer.

  1. 1University of California, Irvine. School of Medicine, Department of Urology, Reconstructive Division, California, United States.

Abstract

We report the case of a 42-year-old man who developed a 6 cm near-obliterative bulbar and membranous urethral stricture after radiation for primary urethral squamous cell carcinoma. Reconstruction was performed using a combination of membranous scar excision and a double-faced buccal mucosal graft urethroplasty. Cystourethroscopy at 4 months demonstrated a widely patent urethra, and the AUA Symptom Score improved from 25 before surgery to 3 at three years. Urethroplasty after radiation for urethral cancer has not been previously well described. This case suggests single-stage urethroplasty is a feasible option for reconstruction of urethral strictures after radiation for urethral cancer.

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BibTeX
@article{behtash2026reconstructing,
  title = {{Reconstructing the irradiated urethra: Double-Faced buccal mucosal graft urethroplasty after treatment of primary urethral cancer.}},
  author = {Negar Behtash and Sikai Song and Zhina Sadeghi and Keith Rourke and Joel Gelman},
  journal = {Urology case reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103653},
  url = {https://europepmc.org/article/MED/42997819},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Reconstructing the irradiated urethra: Double-Faced buccal mucosal graft urethroplasty after treatment of primary urethral cancer.
AU  - Negar Behtash
AU  - Sikai Song
AU  - Zhina Sadeghi
AU  - Keith Rourke
AU  - Joel Gelman
PY  - 2026
DA  - 2026/10/27
JO  - Urology case reports
DO  - 10.1016/j.eucr.2026.103653
UR  - https://europepmc.org/article/MED/42997819
AB  - We report the case of a 42-year-old man who developed a 6 cm near-obliterative bulbar and membranous urethral stricture after radiation for primary urethral squamous cell carcinoma. Reconstruction was performed using a combination of membranous scar excision and a double-faced buccal mucosal graft urethroplasty. Cystourethroscopy at 4 months demonstrated a widely patent urethra, and the AUA Symptom Score improved from 25 before surgery to 3 at three years. Urethroplasty after radiation for urethral cancer has not been previously well described. This case suggests single-stage urethroplasty is a feasible option for reconstruction of urethral strictures after radiation for urethral cancer.
SN  - 2214-4420
ER  -