Urethral reconstruction is most commonly required for strictures. This is generally staightforward, if technically demanding, and involves either excision of the stricture and end-to-end anastomosis or 'patching' of the stricture with a vascularized skin patch. Functional reconstruction implies creation of a continence mechanism as well as construction of a urinary conduit. This is much less commonly required, generally in the major congenital anomalies, is more complicated, involves a variety of possible techniques and has a less certain outcome.
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