Use of Circumferential Fasciocutaneous Penile Skin Flap In The Reconstruction of Complex Urethral Strictures. | [Journal of Surgery Pakistan • 2012]

Author(s):

1. Farrukh Ozair Shah: Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

2. Ikramullah: Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

3. Shehzad Akbar Khan: Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

4. Mazhar Khan: Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

5. Ainul-Hadi: Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

Abstract:

Objective: To find out stricture free rate of penile circumferential fasciocutaneous skin flap use in complex urethral strictures. Study Design: Descriptive case series. Place & Duration of study: Surgical Unit Khyber Teaching Hospital and Hayatabad Medical Complex Peshawar, from January 2000 to December 2009. Methodology: All patients with complex urethral strictures, more than 4cm long, were included. Patients were followed-up for two years and on each visit ascending urethrogram was performed. Results: A total of 48 patients with complex urethral strictures were managed. The average length of the stricture was 06cm (range 04-12cm).Total operation time was 01-03 hours (mean 02 hours). Late postoperative complications included recurrent strictures (25%), urethrocutaneous fistula (4.2%), erectile dysfunction (8.3%) and mild postmicturition dribbling (8.3%). The overall success rate at the end of two years follow-up was 75 %(n=36). Conclusion: Circumfrential fasciocutaneous penile skin flap for urethroplasty is a good option for managing complex urethral strictures with acceptable postoperative morbidity.

Page(s): 139-142

DOI: DOI not available

Published: Journal: Journal of Surgery Pakistan, Volume: 17, Issue: 4, Year: 2012

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views