McAninch JW Department of Urology , University of California School of Medicine , San Francisco 94143-0738. The circular fasciocutaneous penile flap originates on the distal penis and uses Buck's fascia as the major vascular conduit. It is hairless, provides up to 15 cm. of length, adapts to the entire anterior urethra, can be used in circumcised men, and provides the opportunity for 1-stage reconstruction of complex anterior strictures with excellent functional and cosmetic results. The flap was used in 10 patients with complex strictures 8 to 21 cm.
All patients have normal erectile function.