Grafting in Hypospadias: Preputial Skin, Buccal Mucosa, and Tissue Trust

Grafting in hypospadias is often discussed as a choice between tissues: preputial skin, buccal mucosa, local skin, extragenital tissue, free graft, or vascularized flap.This episode argues that the real question is not which graft is available.The real question is whether the graft can be trusted in the recipient bed where it is placed.We discuss preputial skin, buccal mucosa, graft take, graft contraction, inlay grafts, staged grafting, graft beds, corporotomy fields, tubularization timing, and why graft choice should be documented as a response to a defined tissue problem.This episode is part of Season 4 of Pediatric Urology Academy: Hypospadias — Anatomy, Judgment, and Reconstruction.