Fossa Navicularis Reconstruction: Impact of Stricture Length on Outcomes and Assessment of Extended Meatotomy (First Stage Johanson) Maneuver

Stricture length influences the outcome of distal urethroplasty. Onlay repair via a penile fasciocutaneous flap technique is reliable for short perimeatal strictures, but is less well suited for longer distal strictures. Extended meatotomy appears to be a highly effective salvage maneuver for complicated strictures of the fossa navicularis.