Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture
This report describes the use of a tubularized random flap for the curative treatment of recurrent anterior urethral stricture. Under the condition of pendulous lithotomy and suprapubic cystostomy, the urethral stricture was removed via a midline ventral penile incision followed by elevation of the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.e-aps.org/upload/pdf/aps-39-257.pdf |
| _version_ | 1811299519576408064 |
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| author | Yong Jig Lee Byung Kwon Lee |
| author_facet | Yong Jig Lee Byung Kwon Lee |
| author_sort | Yong Jig Lee |
| collection | DOAJ |
| description | This report describes the use of a tubularized random flap for the curative treatment of recurrent anterior urethral stricture. Under the condition of pendulous lithotomy and suprapubic cystostomy, the urethral stricture was removed via a midline ventral penile incision followed by elevation of the flap and insertion of an 18-Fr catheter. Subcutaneous buried interrupted sutures were used to reapproximate the waterproof tubularized neourethra and to coapt with the neourethra and each stump of the urethra, first proximally and then distally. The defect of the penile shaft was covered by advancement of the surrounding scrotal flap. The indwelling catheter was maintained for 21 days. A 9 month postoperative cystoscopy showed no flap necrosis, no mechanical stricture, and no hair growth on the lumen of the neourethra. The patient showed no voiding discomfort 6 months after the operation. The advantages of this procedure are the lack of need for microsurgery, shortening of admission, the use of only spinal anesthesia (no general anesthesia), and a relatively short operative time. The tubularized unilateral penile fasciocutaneous flap should be considered an option for initial flap urethroplasty as a curative technique. |
| first_indexed | 2024-04-13T06:36:06Z |
| format | Article |
| id | doaj.art-f82bd40691e24b79bffc4e0fc7bcfd95 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T06:36:06Z |
| publishDate | 2012-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-f82bd40691e24b79bffc4e0fc7bcfd952022-12-22T02:57:54ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-05-0139325726036Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral StrictureYong Jig Lee0Byung Kwon Lee1Department of Plastic and Reconstructive Surgery, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Plastic and Reconstructive Surgery, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea.This report describes the use of a tubularized random flap for the curative treatment of recurrent anterior urethral stricture. Under the condition of pendulous lithotomy and suprapubic cystostomy, the urethral stricture was removed via a midline ventral penile incision followed by elevation of the flap and insertion of an 18-Fr catheter. Subcutaneous buried interrupted sutures were used to reapproximate the waterproof tubularized neourethra and to coapt with the neourethra and each stump of the urethra, first proximally and then distally. The defect of the penile shaft was covered by advancement of the surrounding scrotal flap. The indwelling catheter was maintained for 21 days. A 9 month postoperative cystoscopy showed no flap necrosis, no mechanical stricture, and no hair growth on the lumen of the neourethra. The patient showed no voiding discomfort 6 months after the operation. The advantages of this procedure are the lack of need for microsurgery, shortening of admission, the use of only spinal anesthesia (no general anesthesia), and a relatively short operative time. The tubularized unilateral penile fasciocutaneous flap should be considered an option for initial flap urethroplasty as a curative technique.http://www.e-aps.org/upload/pdf/aps-39-257.pdfUrethraPenisUrethral strictureRecurrenceSurgical flaps |
| spellingShingle | Yong Jig Lee Byung Kwon Lee Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture Archives of Plastic Surgery Urethra Penis Urethral stricture Recurrence Surgical flaps |
| title | Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture |
| title_full | Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture |
| title_fullStr | Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture |
| title_full_unstemmed | Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture |
| title_short | Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture |
| title_sort | tubularized penile flap urethroplasty using a fasciocutaneous random pedicled flap for recurrent anterior urethral stricture |
| topic | Urethra Penis Urethral stricture Recurrence Surgical flaps |
| url | http://www.e-aps.org/upload/pdf/aps-39-257.pdf |
| work_keys_str_mv | AT yongjiglee tubularizedpenileflapurethroplastyusingafasciocutaneousrandompedicledflapforrecurrentanteriorurethralstricture AT byungkwonlee tubularizedpenileflapurethroplastyusingafasciocutaneousrandompedicledflapforrecurrentanteriorurethralstricture |