Reconstruction of a total anterior urethral defect using buccal mucosa

Extensive urethral defects in the presence of insufficient local skin can challenge the reconstructive urologist. We report a case of complete anterior urethral loss due to Fournier's gangrene that was successfully reconstructed using autologous buccal mucosa. A 17.5 x 2.5 cm tube graft was harvested, extending from the left to right buccal regions along the lower labial fold, At long-term follow-up, the patient had an acceptable cosmetic result with maintenance of potency and the ability to urinate, Buccal mucosal grafts are a viable alternative for cases of near-total urethral reconstruction.