Fossa Navicularis Stricture Repair

About this video

A fossa navicularis stricture is scar tissue that narrows the urethra inside the head of the penis. Dr. Alex Vanni explains the symptoms and causes, including lichen sclerosus, other treatment options, and the transurethral dorsal inlay buccal graft repair that is done entirely through the opening, without splitting the glans.

Key points

• A fossa navicularis stricture narrows the urethra inside the head of the penis
• Symptoms include a weak or spraying stream, straining, or burning
• Common causes are lichen sclerosus and prior procedures or catheters
• A transurethral dorsal inlay buccal graft is done through the opening, without splitting the glans
• About 94% of repairs were successful at more than 2 years of follow-up
• A catheter stays in for about one week; sensation is unchanged in most men

Chapters

1. 0:00Introduction
2. 0:12The Condition
3. 1:09The Repair
4. 2:05Results