First stage of Johanson procedures

The surgical technique of “First stage of Johanson procedure” is to open the urethra (figures 1, 2), leaving for ever the external urinary meatus further down (figure 3).

The surgical technique of First stage of Johanson procedure is generally suggested in the following cases:

  • patients with penile complex urethral strictures due to lichen sclerosus.
  • patients with failed hypospadias repair.


figure 1

figure 2
figure 3