scholarly journals Reconstruction of Long Anterior Urethral Strictures by Dorsally Quilted Penile Skin Flap

ISRN Urology ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Abdel Moneim M. Abuzeid ◽  
M. S. Abdel Kader
Keyword(s):  
Skin Flap ◽  
Urine Flow ◽  
Skin Flaps ◽  
Penile Skin ◽  
Internal Urethrotomy ◽  
One Stage ◽  
Urethral Strictures ◽  
Skin Loss ◽  
Dorsal Onlay ◽  
One Year

Objective. To present the results of reconstruction of long (>5 cm), penile, bulbar, and bulbopenile urethral strictures by penile skin flap as dorsal onlay in one-stage procedure. Patients and Methods. Between January, 1998 and December, 2004, 18 patients (aged from 28-65 years) presented with long urethral strictures, 5.6–13.2 cm (penile in 6, bulbar in 2 and combined in 10 cases), those were repaired utilizing long penile skin flaps placed as dorsal onlay flap in one stage (Orandi flap 6 cm in 6 cases, circular flaps 7–10 cm in 8, and spiral flaps 10–15 cm in 4). Followup of all patients after reconstruction included urine flow rate at weekly intervals, RUG at 6–12 weeks, and urethrocystoscopy at 12 and 18 months. Results. The urethral patency was achieved in 77% of patients. The complications were fistula in one patient (5.5%), restricture occurred in 3 patients (16.6%) that required visual internal urethrotomy and two patients (11%) showed curvature on erection that dose not interfere with sexual intercourse. Diverticulum (penile urethra) was seen in one patient (5.5%) containing stones and was excised surgically. There was penile skin loss in 3 patients (16.6%). All patients completed at least one-year followup period. Conclusion. Free penile skin flaps offer good results (functional and cosmetic) in long penile and/or bulbar urethral strictures. Meticulously fashioned longitudinal, circular or spiral penile skin flaps could bridge urethral defects up to 15 cm long.

scholarly journals Urethroplasty of extensive penile urethral strictures with a longitudinal ventral tubed flap of penile skin (modified Orandi urethroplasty): 20 years of follow-up of two cases

2020 ◽  
Vol 47 (6) ◽  
pp. 613-618
Author(s):  
Jae Won Heo ◽  
Woo Taik Hong ◽  
Yong Hun Kim ◽  
Chae Eun Yang ◽  
Jiye Kim ◽  
...  
Keyword(s):  
Male Patient ◽  
Skin Flap ◽  
Foley Catheter ◽  
Ventral Surface ◽  
Scar Tissue ◽  
Penile Skin ◽  
Original Technique ◽  
One Stage ◽  
Urethral Strictures

The surgical treatment of extensive urethral strictures remains a controversial topic; although techniques have evolved, there is still no definite method of choice. Since 1968, when Orandi presented an original technique for one-stage urethroplasty using a penile skin flap, the Orandi technique has become the most prevalently used one-stage procedure for anterior urethral strictures. We present a 20-year follow-up experience with one-stage reconstruction of long urethral strictures using a longitudinal ventral tubed flap of penile skin, with some important technical changes to Orandi’s original technique to overcome the deficient vascularity caused by periurethral scar tissue. In 1997, a 55-year-old male patient complained of severe voiding difficulty and a weak urinary stream because of transurethral resection of the prostate due to benign prostatic hyperplasia. Another 47-year-old male patient had the same problem due to self-removal of a Foley catheter in 2002. In both patients, a urethrogram demonstrated extensive strictures involving the long segment of the anterior urethra. A rectangular skin flap on the ventral surface of the penis was used considering the appropriate length, diameter, and depth of the neourethra. The modified Orandi flap provided a pedicled strip of penile skin measuring an average of 8 cm. The mean duration of follow-up was 20.5 years. A long-term evaluation revealed stable performance characteristics without any complications.

Penile skin flap dorsal onlay urethroplasty for reconstruction of penile urethral strictures

2021 ◽  
Vol 79 ◽  
pp. S1787
Author(s):  
B.T. Enganti ◽  
C.M. Chiruvella ◽  
P.R. Reddy ◽  
M.T.B. Bendigeri ◽  
R.D. Ragoori ◽  
...  
Keyword(s):  
Skin Flap ◽  
Penile Skin ◽  
Urethral Strictures ◽  
Dorsal Onlay

Dorsal Onlay Buccal Mucosa Versus Penile Skin Flap Urethroplasty for Anterior Urethral Strictures: Results From a Randomized Prospective Trial

2007 ◽  
Vol 178 (6) ◽  
pp. 2466-2469 ◽  
Author(s):  
Deepak Dubey ◽  
Vivek Vijjan ◽  
Rakesh Kapoor ◽  
Aneesh Srivastava ◽  
Anil Mandhani ◽  
...  
Keyword(s):  
Buccal Mucosa ◽  
Skin Flap ◽  
Prospective Trial ◽  
Penile Skin ◽  
Urethral Strictures ◽  
Dorsal Onlay ◽  
Randomized Prospective Trial
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