La meatoplastia dorsal para el tratamiento de la estenosis de meato en pacientes con balanitis xerótica obliterante

Objective: To show our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans by the use of a dorsal meatoplasty technique. Materials and methods:We have performed dorsal meatoplasty to 57 patients suffering from meatal stenosis caused by lichen sclerosus. In all cases the individuals were operated on under local anesthesia and following Malone's original technique: plasty through "inverted V" incision. Results: In almost all the operated patients, we observed a significant improvement in urine flow and an excellent aesthetic result with very low incidence of disperse micturition. We have noted a high satisfaction rate by carrying out a survey. We didn't register any post-operative complication. In 2 patients (3.5%) the stenosis reappeared and persisted during an average time of 39.5 months (range 6 -130). Conclusions: Dorsal meatoplasty with "inverted V" incision is an easily executable technique that can be performed under local anesthesia, avoids post-operative hypospadias and gives excellent aesthetic and functional results with low recurrence rate, which is why we hold the opinion that this procedure should be included in the daily practice of the urologist.

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Prevalence and risk factors for penile lesions/anomalies in a cohort of Brazilian men â‰¥ 40 years of age

Romero¹,

Romero²,

Almeida

et al. 2013

Int. braz j urol.

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Purpose: To report the prevalence and risk factors of penile lesions/anomalies in a Metropolitan Brazilian city. Materials and Methods: All participants undergoing prostate cancer screening in the city of Curitiba were systematically examined to identify penile lesions including cutaneous mycosis, sexually transmitted diseases, penile cancer, meatal stenosis, hypospadias, and Peyronie's disease. Outcomes of interest included the prevalence and the relative risk and 95% confidence intervals of the lesions/anomalies according to age, school level, race, personal history of diabetes, arterial hypertension, nonspecific urethritis, and vasectomy. Results: Balanoposthitis occurred in 11.8% of all participants, with an increased risk in those with diabetes (RR = 1.73), or past history of nonspecific urethritis (RR = 1.58); tinea of the penis was present in 0.2%; condyloma acuminata in 0.5%; herpes virus infection in 0.4%; urethral discharge in 0.2%; genital vitiligo in 0.7%, with an increased prevalence in non-white men (RR = 4.43), and in subjects with lower school level (RR = 7.24); phimosis in 0.5%, with a nearly 7-fold increased risk in diabetics; lichen sclerosus in 0.3%; stenosis of the external urethral meatus in 0.7%, with a higher prevalence in subjects with lichen sclerosus (RR = 214.9), and in those older than 60 years of age (RR = 3.57); hypospadia in 0.6%; fibrosis suggestive of Peyronie's disease in 0.9%, especially in men older than 60 years (RR = 4.59) and with diabetes (RR = 3.91); and penile cancer in 0.06%. Conclusion: We estimated the prevalence and risk factors of commonly seen penile diseases in an adult cohort of Brazilian men.

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La meatoplastia dorsal para el tratamiento de la estenosis de meato en pacientes con balanitis xerótica obliterante

Cited by 3 publications

References 6 publications

Surgical Management of Fossa Navicularis and Distal Urethral Strictures

Surgical Management of Fossa Navicularis and Distal Urethral Strictures

Long-Term Follow-up of Malone Meatoplasty for Meatal Stenosis in Patients with Lichen Sclerosus

Prevalence and risk factors for penile lesions/anomalies in a cohort of Brazilian men â‰¥ 40 years of age

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