Title: Penile Circumferential Fascio- Cutaneous Onlay flap urethroplasty for Complex long Anterior Urethral Strictures. A Prospective Single centre experience with Five years follow up
Authors: Syed Sajjad Nazir, Naveed Khan, Syed Adil Bashir, Muneer Khan
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.137
Abstract
Introduction: Long, complex strictures of the anterior urethra are a challenge and a variety of techniques to reconstruct complex anterior urethral strictures are presently available. Penile Circumferential fasciocutaneous flap urethroplasty is a useful technique for a long anterior urethral stricture due to the flap's hairless nature , mobility and ample length.
Aims and Objectives: To assess the surgical outcomes of urethroplasty for a complex anterior urethral stricture,using a penile Circumferential fasciocutaneous Flap like postoperative complications,stricture free period.
Material & Methods: Between 2007 to 2013, A total of 86 patients with long anterior urethral strictures of more than 5 cms in the age group of 20–65 yrs were subjected to circumferential penile skin urethroplasty .
Results: The median intraoperative stricture length was 6.5 cms with median operating time of 100 minutes (90–145 min) and blood loss of 100 ml. All patients had five years of follow up. Year wise success rate was 92 % , 89 %, 84 %, 80 % & 79 %. 12.72% of the patients had recurrent strictures.
Conclusion: Penile circular fasciocutaneous flap urethroplasty is a useful method for the reconstruction of a long anterior urethral stricture. A sufficient healthy margin should be acquired for better surgical results due to the fact that most recurrence occurs at the junction of the flap.
Keywords: Penis, Surgical flaps, Urethral stricture.
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