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DOI: 10.5999/aps.2012.39.3.257
Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture
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This report describes the use of a tubularized random flap for the curative treatment of recurrent anterior urethral stricture. Under the condition of pendulous lithotomy and suprapubic cystostomy, the urethral stricture was removed via a midline ventral penile incision followed by elevation of the flap and insertion of an 18-Fr catheter. Subcutaneous buried interrupted sutures were used to reapproximate the waterproof tubularized neourethra and to coapt with the neourethra and each stump of the urethra, first proximally and then distally. The defect of the penile shaft was covered by advancement of the surrounding scrotal flap. The indwelling catheter was maintained for 21 days. A 9 month postoperative cystoscopy showed no flap necrosis, no mechanical stricture, and no hair growth on the lumen of the neourethra. The patient showed no voiding discomfort 6 months after the operation. The advantages of this procedure are the lack of need for microsurgery, shortening of admission, the use of only spinal anesthesia (no general anesthesia), and a relatively short operative time. The tubularized unilateral penile fasciocutaneous flap should be considered an option for initial flap urethroplasty as a curative technique.
Publication History
Received: 23 November 2011
Accepted: 16 April 2012
Article published online:
01 May 2022
© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Schwentner C, Seibold J, Colleselli D. et al. Anterior urethral reconstruction using the circular fasciocutaneous flap technique: long-term follow-up. World J Urol 2011; 29: 115-120
- 2 Carney KJ, McAninch JW. Penile circular fasciocutaneous flaps to reconstruct complex anterior urethral strictures. Urol Clin North Am 2002; 29: 397-409
- 3 Son H, Lee H, Huh JS. et al. Studies on self-esteem of penile size in young Korean military men. Asian J Androl 2003; 5: 185-189
- 4 Somerville JJ, Adeyemi OA, Clark PB. Long-term results of two-stage urethroplasty. Br J Urol 1985; 57: 742-745
- 5 Andrich DE, Mundy AR. What is the best technique for urethroplasty?. Eur Urol 2008; 54: 1031-1041
- 6 Tonkin JB, Jordan GH. Management of distal anterior urethral strictures. Nat Rev Urol 2009; 6: 533-538
- 7 Buckley J, McAninch J. Distal penile circular fasciocutaneous flap for complex anterior urethral strictures. BJU Int 2007; 100: 221-231
- 8 McAninch JW, Morey AF. Penile circular fasciocutaneous skin flap in 1-stage reconstruction of complex anterior urethral strictures. J Urol 1998; 159: 1209-1213