Objective: To search for a new method for urethra reconstruction using autologous buccal mucosal graft while lacking of local skin.
Methods: Since 1998, a total of 25 patients with complex hypospadias have been treated using buccal mucosal grafts for urethral reconstruction. The reconstructed urethra was anastomosed with the meatus half year later.
Results: All the reconstructed urethra survived without contracture or stricture except one infection, which healed with no adverse consequence.
Conclusion: The key points for operation success is rich capillary network, thick epidermis and thin lamina propria of the buccal mucosa. Buccal mucosa is an excellent tissue for urethral reconstruction.