Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures
Purpose: This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach. Materials and Methods: Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal gra...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Urological Association
2016-03-01
|
| Series: | Investigative and Clinical Urology |
| Subjects: | |
| Online Access: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-135.pdf |
| _version_ | 1817983311540125696 |
|---|---|
| author | Jonathan N Warner James M Tracey Ali A Zhumkhawala Kevin G. Chan Clayton S. Lau |
| author_facet | Jonathan N Warner James M Tracey Ali A Zhumkhawala Kevin G. Chan Clayton S. Lau |
| author_sort | Jonathan N Warner |
| collection | DOAJ |
| description | Purpose: This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility,
and efficacy of this innovative surgical approach.
Materials and Methods: Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty
through a penoscrotal inversion technique. The clinical outcome was considered a failure when any instrumentation was needed
postoperatively, including dilatation.
Results: Five patients underwent the novel procedure. The patients’ mean age was 58 years. The cause of stricture was instrumentation
in 2 cases (40%), lichen sclerosis in 1 case (20%), and failed hypospadias repair in 2 cases (40%). The mean stricture length
was 3 cm. The overall mean (range) follow-up was 6 months (range, 3–9 months). Of the 5 patients, 4 (80%) had a successful outcome
and 1 (20%) had a failed outcome. The failure was successfully treated by use of a meatotomy.
Conclusions: The penile inversion technique through a penoscrotal incision is a viable option for the management of penile urethral
strictures with several advantages to other techniques: namely, no penile skin incision, a single-stage operation, and supine
positioning. |
| first_indexed | 2024-04-13T23:31:45Z |
| format | Article |
| id | doaj.art-80aa85d68f6746509a806aa37d6b260b |
| institution | Directory Open Access Journal |
| issn | 2466-0493 2466-054X |
| language | English |
| last_indexed | 2024-04-13T23:31:45Z |
| publishDate | 2016-03-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj.art-80aa85d68f6746509a806aa37d6b260b2022-12-22T02:24:53ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2016-03-0157213514010.4111/icu.2016.57.2.135Penile inversion through a penoscrotal incision for the treatment of penile urethral stricturesJonathan N Warner0James M Tracey1Ali A Zhumkhawala2Kevin G. Chan3Clayton S. Lau4City of Hope Medical CenterUniversity of MichiganCity of Hope Medical CenterCity of Hope Medical CenterCity of Hope Medical CenterPurpose: This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach. Materials and Methods: Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty through a penoscrotal inversion technique. The clinical outcome was considered a failure when any instrumentation was needed postoperatively, including dilatation. Results: Five patients underwent the novel procedure. The patients’ mean age was 58 years. The cause of stricture was instrumentation in 2 cases (40%), lichen sclerosis in 1 case (20%), and failed hypospadias repair in 2 cases (40%). The mean stricture length was 3 cm. The overall mean (range) follow-up was 6 months (range, 3–9 months). Of the 5 patients, 4 (80%) had a successful outcome and 1 (20%) had a failed outcome. The failure was successfully treated by use of a meatotomy. Conclusions: The penile inversion technique through a penoscrotal incision is a viable option for the management of penile urethral strictures with several advantages to other techniques: namely, no penile skin incision, a single-stage operation, and supine positioning.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-135.pdfMouth mucosa; Surgery; Urethral stricture |
| spellingShingle | Jonathan N Warner James M Tracey Ali A Zhumkhawala Kevin G. Chan Clayton S. Lau Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures Investigative and Clinical Urology Mouth mucosa; Surgery; Urethral stricture |
| title | Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| title_full | Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| title_fullStr | Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| title_full_unstemmed | Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| title_short | Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| title_sort | penile inversion through a penoscrotal incision for the treatment of penile urethral strictures |
| topic | Mouth mucosa; Surgery; Urethral stricture |
| url | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-57-135.pdf |
| work_keys_str_mv | AT jonathannwarner penileinversionthroughapenoscrotalincisionforthetreatmentofpenileurethralstrictures AT jamesmtracey penileinversionthroughapenoscrotalincisionforthetreatmentofpenileurethralstrictures AT aliazhumkhawala penileinversionthroughapenoscrotalincisionforthetreatmentofpenileurethralstrictures AT kevingchan penileinversionthroughapenoscrotalincisionforthetreatmentofpenileurethralstrictures AT claytonslau penileinversionthroughapenoscrotalincisionforthetreatmentofpenileurethralstrictures |