Mobile pedicled skin flap in one-stage repair of stenoses of the male urethra
Falandry, L.
Medecine Tropicale Revue du Corps de Sante Colonial 53(4): 531-535
1993
ISSN/ISBN: 0025-682X PMID: 8139444 Document Number: 420341
A simple technique is presented for the management of male urethral strictures through one-stage urethroplasty using a mobile pedicled skin flap, be it scrotal or penial skin. The distinctive feature of this technique is the use of a very versatile pedicle, with good blood supply carved out from the subcutaneous cell tissue and the dartos. Depending on the case encountered, our management technique offers a choice of two kinds of plasty: the widening patch, meant to widen the urethral canal, and the tubular graft, which consist in forming a tubular shaped graft in order to replace part or the entire urethra. Since 1984, we have performed this technique 237 times. All of the patients underwent regular check-up, and results, on the anatomical and functional aspect, were very satisfactory. Our experience in the use of this management technique has convinced us of its efficiency and reliability, particularly for infected, fistulated, recurrent and extensive urethral strictures.