World journal of urology · 2019
Contemporary analysis of management of isolated pendulous urethral strictures using pedicled skin flap urethroplasty repair.
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Madden-Fuentes Ramiro J, Belsante Michael J, Granieri Michael A, Peterson Andrew C
Аннотация
OBJECTIVES: To evaluate contemporary outcomes of urethroplasty employing a pedicled skin flap for isolated pendulous urethral strictures.
SUBJECTS/PATIENTS: Inclusion of males > 18 years of age with isolated pendulous urethral strictures treated between 1996 and 2012.
RESULTS: A total of 81 patients with isolated pendulous urethral stricture were identified. Twenty-eight patients underwent repair with a pedicled skin flap during the study period. The median age of the patients treated with a pedicled skin flap was 47 years old (range 21-74). The etiology of the strictures was considered to be idiopathic in 10 patients (35.7%), iatrogenic in 9 patients (32.1%), as a complication of prior hypospadias repair in 6 patients (21.4%), infectious in 2 patients (7.1%), and traumatic in 1 patient (3.6%). The median follow-up was 27 months (range 1-214). Urethroplasty success was noted in 19/21 patients (90.5%). Urethral stricture recurrence occurred in 2 of the 21 patients (9.5%).
CONCLUSIONS: The pedicled skin flap repair for pendulous urethral strictures remains a durable and safe technique in patients without LS.
SUBJECTS/PATIENTS: Inclusion of males > 18 years of age with isolated pendulous urethral strictures treated between 1996 and 2012.
RESULTS: A total of 81 patients with isolated pendulous urethral stricture were identified. Twenty-eight patients underwent repair with a pedicled skin flap during the study period. The median age of the patients treated with a pedicled skin flap was 47 years old (range 21-74). The etiology of the strictures was considered to be idiopathic in 10 patients (35.7%), iatrogenic in 9 patients (32.1%), as a complication of prior hypospadias repair in 6 patients (21.4%), infectious in 2 patients (7.1%), and traumatic in 1 patient (3.6%). The median follow-up was 27 months (range 1-214). Urethroplasty success was noted in 19/21 patients (90.5%). Urethral stricture recurrence occurred in 2 of the 21 patients (9.5%).
CONCLUSIONS: The pedicled skin flap repair for pendulous urethral strictures remains a durable and safe technique in patients without LS.