URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS
Objective: Optimization of urethroplasty results in extended urethral stricture by using vascularized flaps. Methods: The experience of treatment of 12 patients with extended urethral stricture were presented. The clinical material includes the patients with extended strictures of 7 to 18 cm with...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Avicenna Tajik State Medical University
2020-06-01
|
| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2020-22-2-253-261 |
| _version_ | 1797798169774391296 |
|---|---|
| author | G.M. KHODZHAMURADOV K.P. ARTYKOV M.M. ISMOILOV M.M. ISMOILOV S.S. ZIYOZODA M.F. ODINAEV M.S. SAIDOV |
| author_facet | G.M. KHODZHAMURADOV K.P. ARTYKOV M.M. ISMOILOV M.M. ISMOILOV S.S. ZIYOZODA M.F. ODINAEV M.S. SAIDOV |
| author_sort | G.M. KHODZHAMURADOV |
| collection | DOAJ |
| description | Objective: Optimization of urethroplasty results in extended urethral stricture by using vascularized flaps.
Methods: The experience of treatment of 12 patients with extended urethral stricture were presented. The clinical material includes the patients with extended strictures of 7 to 18 cm with the average size of 13±3.67 cm of urethra and skin defects. Operations were performed 4-6 months after the epicystostomy application. The results were evaluated by the anamnestic, clinical, dopplerography and retrograde urethrography data.
Results: In 9 cases extended urethral strictures were replaced by free revascularized single (6 cases) or double (3 cases) radial flaps. In 3 other cases urethral strictures were replaced by local skin tissues and volar defect of the penis was covered by axial groin flap. In all cases autotransplants were survived with restoration of natural urination, ejaculation and optimal aesthetic outcome were obtained. In one case the infiltration of wound and in another case urethral fistula were developed as the complication.
Conclusion: In extended urethral stricture, the size which exceeds 7 cm of using the additional vascularized transplants of soft tissues (free, axial) is the method of the choice for adequate covering urethra tissues and accompanying skin defects of the penis. |
| first_indexed | 2024-03-13T04:00:29Z |
| format | Article |
| id | doaj.art-dc0931f636784f11a95a6ed41c4d5060 |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T04:00:29Z |
| publishDate | 2020-06-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-dc0931f636784f11a95a6ed41c4d50602023-06-21T19:33:56ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272020-06-0122225326110.25005/2074-0581-2020-22-2-253-261URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPSG.M. KHODZHAMURADOV0K.P. ARTYKOV1M.M. ISMOILOV2M.M. ISMOILOV3S.S. ZIYOZODA4M.F. ODINAEV5M.S. SAIDOV6Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of TajikistanDepartment of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of TajikistanDepartment of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of TajikistanDepartment of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of TajikistanDepartment of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of TajikistanDepartment of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of TajikistanObjective: Optimization of urethroplasty results in extended urethral stricture by using vascularized flaps. Methods: The experience of treatment of 12 patients with extended urethral stricture were presented. The clinical material includes the patients with extended strictures of 7 to 18 cm with the average size of 13±3.67 cm of urethra and skin defects. Operations were performed 4-6 months after the epicystostomy application. The results were evaluated by the anamnestic, clinical, dopplerography and retrograde urethrography data. Results: In 9 cases extended urethral strictures were replaced by free revascularized single (6 cases) or double (3 cases) radial flaps. In 3 other cases urethral strictures were replaced by local skin tissues and volar defect of the penis was covered by axial groin flap. In all cases autotransplants were survived with restoration of natural urination, ejaculation and optimal aesthetic outcome were obtained. In one case the infiltration of wound and in another case urethral fistula were developed as the complication. Conclusion: In extended urethral stricture, the size which exceeds 7 cm of using the additional vascularized transplants of soft tissues (free, axial) is the method of the choice for adequate covering urethra tissues and accompanying skin defects of the penis.https://doi.org/10.25005/2074-0581-2020-22-2-253-261extended urethral stricturefree vascularized radial flapaxial groin flapurethroplastyplasty of penis skin defects. |
| spellingShingle | G.M. KHODZHAMURADOV K.P. ARTYKOV M.M. ISMOILOV M.M. ISMOILOV S.S. ZIYOZODA M.F. ODINAEV M.S. SAIDOV URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS Паёми Сино extended urethral stricture free vascularized radial flap axial groin flap urethroplasty plasty of penis skin defects. |
| title | URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS |
| title_full | URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS |
| title_fullStr | URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS |
| title_full_unstemmed | URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS |
| title_short | URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS |
| title_sort | urethroplasty of extended urethra strictures by vascularized flaps |
| topic | extended urethral stricture free vascularized radial flap axial groin flap urethroplasty plasty of penis skin defects. |
| url | https://doi.org/10.25005/2074-0581-2020-22-2-253-261 |
| work_keys_str_mv | AT gmkhodzhamuradov urethroplastyofextendedurethrastricturesbyvascularizedflaps AT kpartykov urethroplastyofextendedurethrastricturesbyvascularizedflaps AT mmismoilov urethroplastyofextendedurethrastricturesbyvascularizedflaps AT mmismoilov urethroplastyofextendedurethrastricturesbyvascularizedflaps AT ssziyozoda urethroplastyofextendedurethrastricturesbyvascularizedflaps AT mfodinaev urethroplastyofextendedurethrastricturesbyvascularizedflaps AT mssaidov urethroplastyofextendedurethrastricturesbyvascularizedflaps |