Objective: To review the results of different methods of urethroplasty for anterior urethral strictures caused by balanitis xerotica obliterans (BXO).
Patients and methods: Twenty-eight patients underwent urethroplasty for BXO; 12 had a one-stage pedicled penile skin-flap urethroplasty and 16 excision and a two-stage free-graft urethroplasty using nongenital skin.
Results: The treatment failed in all patients undergoing a one-stage pedicle penile skin urethroplasty because the disease recurred with BXO, whereas the treatment failed in only one patient using a two-stage free graft procedure.
Conclusion: A two-stage free-graft urethroplasty using nongenital skin is recommended for anterior urethral strictures caused by BXO.