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Penile skin flap: a versatile substitute for anterior urethral stricture
PURPOSE: Penile skin flap uretroplasty is a useful technique for a long urethral stricture due to the ample length and surgical handling characteristics. We investigated the surgical technique and initial results of uretroplasty for anterior urethral strictures using a dorsal penile skin flap. PATIE...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6844360/ https://www.ncbi.nlm.nih.gov/pubmed/31038860 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0652 |
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author | Hmida, Wissem Othmen, Mouna Ben Bako, Amidou Jaidane, Mehdi Mosbah, Faouzi |
author_facet | Hmida, Wissem Othmen, Mouna Ben Bako, Amidou Jaidane, Mehdi Mosbah, Faouzi |
author_sort | Hmida, Wissem |
collection | PubMed |
description | PURPOSE: Penile skin flap uretroplasty is a useful technique for a long urethral stricture due to the ample length and surgical handling characteristics. We investigated the surgical technique and initial results of uretroplasty for anterior urethral strictures using a dorsal penile skin flap. PATIENTS AND METHODS: From January 2003 to January 2018, a total of 77 patients underwent substitution urethroplasty using dorsal penile skin flap for bulbar urethral strictures in our institution. All patients were assessed preoperatively, and followed postoperatively by physical examination, urinalysis, retrograde and voiding urethrography, uroflowmetry and post-void residual urine measurement. Success was defined as no requirement of additional urethral instrumentation. RESULTS: The mean age was 45 years (10-87). The mean stricture length was 5cm (3-10cm). The mean flap length was 6cm. Urinary fistula was the most common postoperative complication. The mean follow-up was 60 months (6-120). The overall success rate was 88%. Recurrent strictures were found in 4 patients (5%) at 1 year. At 3 year follow-up, 5 (7%) more patients had recurrences. All recurrences were managed by internal urethrotomy. CONCLUSIONS: Substitution urethroplasty using penile skin flap appear to be a safe and efficient technique for the treatment of a long and complex anterior urethral stricture. It provides encouraging cosmetic and functional results. |
format | Online Article Text |
id | pubmed-6844360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-68443602019-12-05 Penile skin flap: a versatile substitute for anterior urethral stricture Hmida, Wissem Othmen, Mouna Ben Bako, Amidou Jaidane, Mehdi Mosbah, Faouzi Int Braz J Urol Surgical Technique PURPOSE: Penile skin flap uretroplasty is a useful technique for a long urethral stricture due to the ample length and surgical handling characteristics. We investigated the surgical technique and initial results of uretroplasty for anterior urethral strictures using a dorsal penile skin flap. PATIENTS AND METHODS: From January 2003 to January 2018, a total of 77 patients underwent substitution urethroplasty using dorsal penile skin flap for bulbar urethral strictures in our institution. All patients were assessed preoperatively, and followed postoperatively by physical examination, urinalysis, retrograde and voiding urethrography, uroflowmetry and post-void residual urine measurement. Success was defined as no requirement of additional urethral instrumentation. RESULTS: The mean age was 45 years (10-87). The mean stricture length was 5cm (3-10cm). The mean flap length was 6cm. Urinary fistula was the most common postoperative complication. The mean follow-up was 60 months (6-120). The overall success rate was 88%. Recurrent strictures were found in 4 patients (5%) at 1 year. At 3 year follow-up, 5 (7%) more patients had recurrences. All recurrences were managed by internal urethrotomy. CONCLUSIONS: Substitution urethroplasty using penile skin flap appear to be a safe and efficient technique for the treatment of a long and complex anterior urethral stricture. It provides encouraging cosmetic and functional results. Sociedade Brasileira de Urologia 2019-01-29 /pmc/articles/PMC6844360/ /pubmed/31038860 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0652 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Surgical Technique Hmida, Wissem Othmen, Mouna Ben Bako, Amidou Jaidane, Mehdi Mosbah, Faouzi Penile skin flap: a versatile substitute for anterior urethral stricture |
title | Penile skin flap: a versatile substitute for anterior urethral stricture |
title_full | Penile skin flap: a versatile substitute for anterior urethral stricture |
title_fullStr | Penile skin flap: a versatile substitute for anterior urethral stricture |
title_full_unstemmed | Penile skin flap: a versatile substitute for anterior urethral stricture |
title_short | Penile skin flap: a versatile substitute for anterior urethral stricture |
title_sort | penile skin flap: a versatile substitute for anterior urethral stricture |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6844360/ https://www.ncbi.nlm.nih.gov/pubmed/31038860 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0652 |
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