Contemporary analysis of management of isolated pendulous urethral strictures using pedicled skin flap urethroplasty repair.

Autor: Madden-Fuentes RJ; Concord Hospital, Center for Urologic Care, Concord, NH, 03301, USA. rmadden@crhc.org., Belsante MJ; Urology Associates of Nashville, Nashville, TN, 37209, USA., Granieri MA; Conrad Pearson Clinic, Germantown, TN, 38138, USA., Peterson AC; Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC, 27710, USA.
Jazyk: angličtina
Zdroj: World journal of urology [World J Urol] 2019 Dec; Vol. 37 (12), pp. 2769-2774. Date of Electronic Publication: 2019 Mar 01.
DOI: 10.1007/s00345-019-02699-6
Abstrakt: 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.
Databáze: MEDLINE
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