Post-hypospadias strictures are best served by two-stage Johanson urethroplasty. The first stage involves the application of a dorsal buccal mucosa graft, if the urethral plate is inadequate.

During the first stage of the Johanson urethroplasty, the urethra is split open until normal tissue is encountered, and the urethral plate is sewn to the skin edges. Ideally, a 3 cm hairless ...