| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000434694 |
| ISSN: | 1677-5538 |
| Autores: | Hmida, Wissem1 Othmen, Mouna Ben1 Bako, Amidou1 Jaidane, Mehdi1 Mosbah, Faouzi1 |
| Instituciones: | 1Sahloul Hospital Sousse, Department of Urology, Sousse Ibn-khaldoun. Túnez |
| Año: | 2019 |
| Periodo: | Sep-Dic |
| Volumen: | 45 |
| Número: | 5 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Aplicado, descriptivo |
| Resumen en inglés | Purpose Penile skin flap uretroplasty is a useful technique for a long urethral stricture due to the ample length and surgical handling characteristics. We investigated the surgical technique and initial results of uretroplasty for anterior urethral strictures using a dorsal penile skin flap. Patients and methods From January 2003 to January 2018, a total of 77 patients underwent substitution urethroplasty using dorsal penile skin flap for bulbar urethral strictures in our institution. All patients were assessed preoperatively, and followed postoperatively by physical examination, urinalysis, retrograde and voiding urethrography, uroflowmetry and post-void residual urine measurement. Success was defined as no requirement of additional urethral instrumentation. Results The mean age was 45 years (10-87). The mean stricture length was 5cm (3-10cm). The mean flap length was 6cm. Urinary fistula was the most common postoperative complication. The mean follow-up was 60 months (6-120). The overall success rate was 88%. Recurrent strictures were found in 4 patients (5%) at 1 year. At 3 year follow-up, 5 (7%) more patients had recurrences. All recurrences were managed by internal urethrotomy. Conclusions Substitution urethroplasty using penile skin flap appear to be a safe and efficient technique for the treatment of a long and complex anterior urethral stricture. It provides encouraging cosmetic and functional results |
| Disciplinas: | Medicina |
| Palabras clave: | Urología, Cirugía, Estenosis uretral, Reparación quirúrgica, Colgajos cutáneos, Pene, Glándulas bulbouretrales |
| Keyword: | Urology, Surgery, Surgical repair, Skin flaps, Penis, Urethral stenosis, Bulbourethral glands |
| Texte intégral: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
