Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience

This study aimed to investigate the curative effect of spiral embedded flap urethroplasty for the treatment of meatal stenosis after penile carcinoma surgery. From January 2015 to January 2021, we used our technique to treat strictures of the external urethral orifice in seven patients, including fo...

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Main Authors: Ying Wang, Meng Liu, Lu-Jie Song, Ran-Xing Yang, Kai-Le Zhang, San-Bao Jin, Qiang Fu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Asian Journal of Andrology
Subjects:
Online Access:http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=591;epage=593;aulast=Wang
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author Ying Wang
Meng Liu
Lu-Jie Song
Ran-Xing Yang
Kai-Le Zhang
San-Bao Jin
Qiang Fu
author_facet Ying Wang
Meng Liu
Lu-Jie Song
Ran-Xing Yang
Kai-Le Zhang
San-Bao Jin
Qiang Fu
author_sort Ying Wang
collection DOAJ
description This study aimed to investigate the curative effect of spiral embedded flap urethroplasty for the treatment of meatal stenosis after penile carcinoma surgery. From January 2015 to January 2021, we used our technique to treat strictures of the external urethral orifice in seven patients, including four cases of meatal stenosis after partial penile resection and three cases of meatal stenosis after perineal stoma. All patients had previously undergone repeat urethral dilatation. The patients underwent spiral embedded flap urethroplasty to enlarge the outer urethral opening. The patients' mean age at the time of surgery was 60 (range: 42–71) years, the mean operative time was 43 min, and the median follow-up period was 18 months. The patients voided well post-operatively, and urinary peak flow rates ranged from 18.3 ml s−1 to 30.4 ml s−1. All patients were successful with absence of urethral meatus stricture. The present study showed that using spiral embedded flap urethroplasty to treat meatal stenosis after penile carcinoma surgery is an effective surgical technique with good long-term outcomes.
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spelling doaj.art-1a056c294666420c86e182a8a02aaf542022-12-22T04:39:19ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622022-01-0124659159310.4103/aja20227Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experienceYing WangMeng LiuLu-Jie SongRan-Xing YangKai-Le ZhangSan-Bao JinQiang FuThis study aimed to investigate the curative effect of spiral embedded flap urethroplasty for the treatment of meatal stenosis after penile carcinoma surgery. From January 2015 to January 2021, we used our technique to treat strictures of the external urethral orifice in seven patients, including four cases of meatal stenosis after partial penile resection and three cases of meatal stenosis after perineal stoma. All patients had previously undergone repeat urethral dilatation. The patients underwent spiral embedded flap urethroplasty to enlarge the outer urethral opening. The patients' mean age at the time of surgery was 60 (range: 42–71) years, the mean operative time was 43 min, and the median follow-up period was 18 months. The patients voided well post-operatively, and urinary peak flow rates ranged from 18.3 ml s−1 to 30.4 ml s−1. All patients were successful with absence of urethral meatus stricture. The present study showed that using spiral embedded flap urethroplasty to treat meatal stenosis after penile carcinoma surgery is an effective surgical technique with good long-term outcomes.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=591;epage=593;aulast=Wangmeatal stenosis; spiral embedded flap; urethroplasty
spellingShingle Ying Wang
Meng Liu
Lu-Jie Song
Ran-Xing Yang
Kai-Le Zhang
San-Bao Jin
Qiang Fu
Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
Asian Journal of Andrology
meatal stenosis; spiral embedded flap; urethroplasty
title Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
title_full Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
title_fullStr Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
title_full_unstemmed Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
title_short Novel strategy using a spiral embedded flap for meatal stenosis after post-penile cancer amputation surgery: a single-center experience
title_sort novel strategy using a spiral embedded flap for meatal stenosis after post penile cancer amputation surgery a single center experience
topic meatal stenosis; spiral embedded flap; urethroplasty
url http://www.ajandrology.com/article.asp?issn=1008-682X;year=2022;volume=24;issue=6;spage=591;epage=593;aulast=Wang
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