Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures.
Investig Clin Urol
; 57(2): 135-40, 2016 Mar.
Article
en En
| MEDLINE
| ID: mdl-26981596
ABSTRACT
PURPOSE:
This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach. MATERIALS ANDMETHODS:
Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty through a penoscrotal inversion technique. The clinical outcome was considered a failure when any instrumentation was needed postoperatively, including dilatation.RESULTS:
Five patients underwent the novel procedure. The patients' mean age was 58 years. The cause of stricture was instrumentation in 2 cases (40%), lichen sclerosis in 1 case (20%), and failed hypospadias repair in 2 cases (40%). The mean stricture length was 3 cm. The overall mean (range) follow-up was 6 months (range, 3-9 months). Of the 5 patients, 4 (80%) had a successful outcome and 1 (20%) had a failed outcome. The failure was successfully treated by use of a meatotomy.CONCLUSIONS:
The penile inversion technique through a penoscrotal incision is a viable option for the management of penile urethral strictures with several advantages to other techniques namely, no penile skin incision, a single-stage operation, and supine positioning.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Pene
/
Escroto
/
Estrechez Uretral
Límite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Investig Clin Urol
Año:
2016
Tipo del documento:
Article
País de afiliación:
Estados Unidos