Tunica vaginalis as interposing tissue in urethral surgery

tunica vaginalis testis has been used in 10 boys as an interposing tissue following tabularized incised plate urethroplasty when preputial or penile dartos were not available. It was also used in 5 patients to cover the exterioized urethra during second stage penile urethroplasty. A urethrocutaneous fistula developed in 4 patients. There was no problem with harvesting any size of a well vascularized tunical flap and no complications were observed that were related directly to the technique. the tunica vaginalis is a viable alternative to other tissues presently used to cover the urethroplasty