Penile circular fasciocutaneous flaps to reconstruct complex anterior urethral strictures

Carney, K. Jeff; McAninch, Jack W.

doi:10.1016/s0094-0143(02)00046-0

Cited by 39 publications

(37 citation statements)

References 14 publications

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“…The BMG-augmented roof-top anastomosis is useful when the obliterated segment is short and forms part of a long stricture in which the lumen is otherwise okay [2]. But when the whole stricture is more or less obliterative throughout its length, long flap repair preferably using a patch of penile shaft skin is a good option [69]. In cases of strictures complicated by periurethral infection or abscess, a two-stage repair is preferred.…”

Section: Obliterative Stricturesmentioning

confidence: 99%

Anterior Urethral Strictures: A Brief Review of the Current Surgical Treatment

Singh

Gupta

Arvind³

2010

Urol Int

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A review of the recent literature on the surgical management of anterior urethral stricture was performed. The literature was searched via PubMed using the search terms ‘urethral stricture’ and ‘urethroplasty’ from 1996 to 2009. The management of anterior urethral strictures is changing rapidly in the sense that the reconstructive procedures have evolved greatly. Penile skin, because of its location and because it is hairless, has been popular and used for a long time. Since the early 1990s, buccal mucosa graft (BMG) was introduced in urethral reconstructive surgery and has become the first choice of most practicing urologists. Recently, there has been an increase in the use of lingual mucosa graft with various doctors reporting easy harvesting and lesser morbidity in comparison to BMG. Also, fibrin glue has recently been used to fix the graft with promising results. With the success of tissue-engineered materials that are still in the experimental phase, the urologist would no longer be limited by the quantity of the graft. These substitutes will also boost the appealing scarless endoscopic urethroplasty. This article provides a brief up-to-date review of the main surgical techniques in the management of anterior urethral stricture disease for the contemporary practicing urologists. Present controversies have been given special emphasis. The possible future techniques and the future of the anterior urethral stricture surgery are also discussed in brief.

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Section: Obliterative Stricturesmentioning

confidence: 99%

Anterior Urethral Strictures: A Brief Review of the Current Surgical Treatment

Singh

Gupta

Arvind³

2010

Urol Int

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“…The standard surgical technique of penile circular fasciocutaneous flap urethroplasty was applied while the patient was positioned usually in a low lithotomy position [9,10]. The distal line of incision was marked approximately 5 mm proximal to the coronal sulcus, and the second line of incision was marked approximately 15 to 20 mm proximal to the first.…”

Section: Methodsmentioning

confidence: 99%

Surgical Outcome of Urethroplasty Using Penile Circular Fasciocutaneous Flap for Anterior Urethral Stricture

Kim

Suh

Paick

et al. 2014

World J Mens Health

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PurposePenile circular fasciocutaneous flap urethroplasty is a useful technique for a long anterior urethral stricture due to the flap's hairless nature and ample length. We investigated the surgical outcomes of urethroplasty for a complex anterior urethral stricture, performed using a penile circular fasciocutaneous flap.Materials and MethodsBetween 2008 and 2013, we performed a retrospective review of 29 patients who underwent urethroplasty using a penile circular fasciocutaneous flap and had at least 6 months of follow-up. A total of 20 cases utilized only a fasciocutaneous flap, while 9 cases combined a fasciocutaneous flap with other surgery. Success was defined as no requirement of additional urethral instrumentation.ResultsThe overall success rate was 68.9% (20 out of 29 cases) at a median follow-up of 19 months. Furthermore, fasciocutaneous flap urethroplasty rendered the actual stricture-free rate of 79.3%. The location of recurrence was mostly at the junction of the flap. Among 9 surgical failures, 5 cases were treated successfully by using an additional surgical procedure. Fistula repair was needed in 1 case 4 months later. Further, periodic urethral dilation was performed in the remaining 3 cases. The failure rate was significantly higher in patients with suprapubic cystostomy than in patients without suprapubic cystostomy. The most common complication was post-micturition dribbling.ConclusionsPenile circular fasciocutaneous flap urethroplasty is a useful method for the reconstruction of a long anterior urethral stricture. A sufficient healthy margin should be acquired for better surgical results due to the fact that most recurrence occurs at the junction of the flap.

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“…However, the success rate for tubularisation of the flap is lower when compared with onlay repair. (Carney & McAninch, 2002) Thus, onlay repair is favoured by most urologists when intraoperative findings allow it.…”

Section: Methodsmentioning

confidence: 99%

Genital Skin Flap Urehtroplasty

Olajide¹

2011

Current Concepts of Urethroplasty

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Penile circular fasciocutaneous flaps to reconstruct complex anterior urethral strictures

Cited by 39 publications

References 14 publications

Anterior Urethral Strictures: A Brief Review of the Current Surgical Treatment

Anterior Urethral Strictures: A Brief Review of the Current Surgical Treatment

Surgical Outcome of Urethroplasty Using Penile Circular Fasciocutaneous Flap for Anterior Urethral Stricture

Genital Skin Flap Urehtroplasty

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