Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures.
| Autor: | Warner JN; Department of Surgery, City of Hope Medical Center, Duarte, CA, USA., Tracey JM; Department of Urology, University of Michigan, Ann Arbor, MI, USA., Zhumkhawala AA; Department of Surgery, City of Hope Medical Center, Duarte, CA, USA., Chan KG; Department of Surgery, City of Hope Medical Center, Duarte, CA, USA., Lau CS; Department of Surgery, City of Hope Medical Center, Duarte, CA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Investigative and clinical urology [Investig Clin Urol] 2016 Mar; Vol. 57 (2), pp. 135-40. Date of Electronic Publication: 2016 Feb 29. |
| DOI: | 10.4111/icu.2016.57.2.135 |
| Abstrakt: | 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 and Methods: 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. |
| Databáze: | MEDLINE |
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