Reconstruction of Strictures of the Fossa Navicularis and Meatus With Transverse Island Fasciocutaneous Penile Flap

Onol, Sinasi Yavuz; Önol, Fikret Fatih; Onur, Serhat; Inal, H.; Akbaş, Alpaslan; Köse, Osman

doi:10.1016/j.juro.2007.11.055

Cited by 15 publications

(7 citation statements)

References 12 publications

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“…Onol et al . [8] describe a correspondingly low recurrence rate using the same repair in men after radical prostatectomy with an average of 30 months of follow‐up.…”

Section: Discussionmentioning

confidence: 98%

Distal urethroplasty for isolated fossa navicularis and meatal strictures

et al. 2011

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RESULTS• Average clinical follow-up for men undergoing distal urethroplasty was 61 months.• Successful reconstruction requiring no further intervention occurred in 84% of men overall. Subgroup analysis revealed success in 87% of men with meatotomy, 75% with meatoplasty and 66% with substitution urethroplasty.• Men with LS had a significantly greater rate of stricture recurrence (20.5% vs 7.5%, P = 0.04).• Of the subset of men who completed a patient-based questionnaire 84% reported they were either satisfied or very satisfied with the results of their meatotomy. CONCLUSIONS• We report the success of distal urethral stricture management.• Meatal strictures may be approached successfully in a stepwise manner progressing from meatotomy to meatoplasty for longer recurrent strictures, with a high overall success rate for meatotomy.• Although substitution grafts may be useful for men with longer distal strictures and those with LS, the risk of recurrence was significantly higher in this cohort.

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“…Onol et al . [8] describe a correspondingly low recurrence rate using the same repair in men after radical prostatectomy with an average of 30 months of follow‐up.…”

Section: Discussionmentioning

confidence: 98%

Distal urethroplasty for isolated fossa navicularis and meatal strictures

et al. 2011

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“…Ventral meatotomy, onlay urethroplasty using transverse island ventral penile skin flap, two stage repair using BMG etc., are the commonly used reconstructive options for the management of distal strictures. 5,10,19,20,21,22,23,24,25,26,27 An ideal urethral substitute should have a dependable blood supply, absence of hair follicles, excellent applicability and immunity from progression of the disease process. 24,27 Urethral substitution for an obliterative process, mandates a more complex reconstructive procedure.…”

Section: Discussionmentioning

confidence: 99%

Ventral Onlay Buccal Mucosal Graft Urethroplasty Based on Tunica Vaginalis Flap for Balanitis Xerotica Obliterans Related Urethral Strictures: The Outcome of Single- Stage Reconstruction

Singh¹

2017

jmscr

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“…Ventral meatotomy, onlay urethroplasty using transverse island ventral penile skin flap, two stage repair using BMG etc.,[1234567891011] are the commonly used reconstructive options for the management of distal strictures. An ideal urethral substitute should have a dependable blood supply, absence of hair follicles, excellent applicability and immunity from progression of the disease process.…”

Section: Discussionmentioning

confidence: 99%

“…An ideal urethral substitute should have a dependable blood supply, absence of hair follicles, excellent applicability and immunity from progression of the disease process. [69] Urethral substitution for an obliterative process, mandates a more complex reconstructive procedure. Management of these strictures requires a customized approach, taking into account the length and etiology of the stricture, patient expectations and surgeon's experience.…”

Section: Discussionmentioning

confidence: 99%

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Single stage ventral onlay buccal mucosal graft urethroplasty for navicular fossa strictures

Chowdhury¹,

Nayak²,

Mallick³

et al. 2014

Indian J Urol

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Introduction:The correction of fossa navicularis strictures poses a distinct reconstructive challenge as it requires attention to cosmesis, in addition to urethral patency. Different graft and flap based repairs have been described with variable success rates. However, the ideal management remains unclear. The feasibility and efficacy of a single stage ventral onlay buccal mucosa graft urethroplasty (VOBMGU) for navicular fossa strictures (NFS) was evaluated in the present study.Subjects and Methods:All patients with NFS attending urology out-patient department from March, 2009 onward accepting VOBMGU were evaluated prospectively. Patients with minimum 1 year of follow-up were included for analysis. The technique involves opening the diseased stenosed meatus ventrally up to the corona. The diseased mucosa is excised leaving a midline strip of native urethral mucosa on the dorsal side. The buccal mucosal graft (BMG) is fixed on either side of this strip over a 24 Fr. silicone catheter. The glans wings are apposed in midline taking anchoring bites on the mucosal graft ventrally. Post-operatively patients were reviewed at 1, 3, 6 and 12 months and annually thereafter. Cosmetic acceptance and splaying of the urinary stream was assessed with individual questionnaires.Results:A total of six patients underwent VOBMGU. Average flow rate at 3 months post-operatively was 12 ml/s. The end result was cosmetically highly acceptable. There was no fistula in any of the cases. With a median follow-up of 37 months, only one patient had a recurrence of stricture in a proximal site.Conclusions:VOBMGU is a viable technique for reconstruction of NFS with promising short term results. However, long-term follow-up is necessary.

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Reconstruction of Strictures of the Fossa Navicularis and Meatus With Transverse Island Fasciocutaneous Penile Flap

Abstract: Reconstruction of post-prostatectomy strictures involving the fossa navicularis and external meatus with ventral transverse island fasciocutaneous penile flap is an efficient method for the restoration of a functional and cosmetic penis with preserved glandular integrity.

Cited by 15 publications

References 12 publications

Distal urethroplasty for isolated fossa navicularis and meatal strictures

Distal urethroplasty for isolated fossa navicularis and meatal strictures

Ventral Onlay Buccal Mucosal Graft Urethroplasty Based on Tunica Vaginalis Flap for Balanitis Xerotica Obliterans Related Urethral Strictures: The Outcome of Single- Stage Reconstruction

Single stage ventral onlay buccal mucosal graft urethroplasty for navicular fossa strictures

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