One-Stage Urethroplasty for Complicated Urethral Strictures using
Axial Penile Skin Island Flap

Osegbe, D N; Ntia, IO

doi:10.1159/000464007

Cited by 7 publications

(3 citation statements)

References 9 publications

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“…All patients had suprapubic catheters before repair. The operative technique is essentially similar to that used for dorsal transverse penile island skin flap urethroplasty described by Duckett and Quartey 1,2,9 . In this case, however, the incision, flap and pedicle are ventral.…”

Section: Methodsmentioning

confidence: 99%

“…Penile and preputial skin have been used for one-stage urethral reconstruction with excellent functional and cosmetic results in the past three decades 1,2,3 . Urethroplasty is generally reserved for those patients who have failed to respond adequately to simple instrumentation -those with complicated and complex strictures and those with dense impassable strictures 2,4 .…”

Section: Introductionmentioning

confidence: 99%

“…Urethroplasty is generally reserved for those patients who have failed to respond adequately to simple instrumentation -those with complicated and complex strictures and those with dense impassable strictures 2,4 . Intraluminal coil stenting of strictures may offer temporary benefit in some strictures that fail to respond to instrumentation 5,6.…”

Section: Introductionmentioning

confidence: 99%

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Experience With Ventral Penile Skin Island Flap urethroplasty

Ntia¹,

Mungadi²

2010

Nigerian Journal of Surgical Research

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Background:Island flap techniques currently used in urethroplasty utilize the prepuce and the dorsal penile skin. Our experience with a one-stage island flap urethroplasty for urethral strictures utilizing the ventral penile skin is described. Patients and Method: This is a longitudinal study of seventy six consecutive patients with impassable and complicated urethral strictures treated using this technique over a seven-year period. Sixty were bulbous while sixteen were bulbomembranous urethral strictures. Following operation the patients were assessed using urine flow rates, urethrograms and some urethroscopy. Restrictures were successfully reoperated. Results: Sixty-eight patients (89.5%) had satisfactory voiding with good urine stream without complication at one year after operation. Five patients (6.6%) had restricture and three (3.9%) others had urethral bagginess and postmicturition dribbling. The overall complication rate was 10.5%. At three years after initial operation and reoperation seventy-five patients (98.7%) were voiding satisfactorily. There was one complete failure, no death. Conclusion:This technique has produced satisfactory results compared with other similar techniques in current use. Further work is required to make valid conclusions about the value of this procedure.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experience With Ventral Penile Skin Island Flap urethroplasty

Ntia¹,

Mungadi²

2010

Nigerian Journal of Surgical Research

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Current controversies in anterior urethral stricture repair: free-graft versus pedicled skin-flap reconstruction

Wessells

McAninch

1998

World Journal of Urology

133

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Reconstruction of long anterior urethral strictures that cannot be excised and reanastomosed remains controversial. We critically reviewed the literature on free-graft and pedicled skin-flap urethroplasty to determine the optimal method of repair. Overall, free grafts were successful in 84.3% of cases and flaps, in 85.9%. Buccal mucosa grafts are the most successful method for reconstruction of bulbar urethral strictures. For strictures in the penile urethral or a compromised graft bed a distal penile skin flap is the most reliable and tested approach. Dorsal free-graft urethroplasty may be considered when penile skin deficiency prevents use of a flap. For the most complex strictures, in which a flap is not possible and the graft bed is of poor quality, a mesh graft in two stages may be the only option. Thus, for reconstruction of complex anterior urethral strictures, both free-graft and flap procedures remain indispensable.

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Bibliography

2009

Hinman's Atlas of Pediatric Urologic Surgery

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One-Stage Urethroplasty for Complicated Urethral Strictures using Axial Penile Skin Island Flap

Cited by 7 publications

References 9 publications

Experience With Ventral Penile Skin Island Flap urethroplasty

Experience With Ventral Penile Skin Island Flap urethroplasty

Current controversies in anterior urethral stricture repair: free-graft versus pedicled skin-flap reconstruction

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