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Reconstruction of Strictures of the Fossa Navicularis and Meatus With Transverse Island Fasciocutaneous Penile Flap

2008; Lippincott Williams & Wilkins; Volume: 179; Issue: 4 Linguagem: Inglês

10.1016/j.juro.2007.11.055

1527-3792

Şinasi Yavuz Önol, Fikret Fatih Önol, Serhat Onur, H. Inal, Alpaslan Akbaş, Ösman Kose,

Genital Health and Disease

No AccessJournal of UrologyAdult Urology1 Apr 2008Reconstruction of Strictures of the Fossa Navicularis and Meatus With Transverse Island Fasciocutaneous Penile Flapis accompanied byDeconstructing Reconstructive Urology Şinasi Yavuz Önol, Fikret Fatih Önol, Serhat Onur, Haluk Inal, Alpaslan Akbaş, and Osman Köse Şinasi Yavuz ÖnolŞinasi Yavuz Önol Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey , Fikret Fatih ÖnolFikret Fatih Önol M.O.H. Sakarya Training and Research Hospital, Sakarya, Turkey , Serhat OnurSerhat Onur M.O.H. Validebağ State Hospital, Istanbul, Turkey , Haluk InalHaluk Inal Clinic of Urology, Mevkii Military Hospital, Cyprus , Alpaslan AkbaşAlpaslan Akbaş Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey , and Osman KöseOsman Köse Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey View All Author Informationhttps://doi.org/10.1016/j.juro.2007.11.055AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Reconstruction of post-prostatectomy strictures involving the fossa navicularis and external urethral meatus following benign prostatic hyperplasia treatment is challenging in terms of creating a functional and cosmetically appealing penis. We reviewed our results with the use of ventral transverse island fasciocutaneous penile flap in the reconstruction of these strictures. Materials and Methods: Between 1997 and 2007 a total of 26 men (mean age 59 years, range 49 to 76) with post-prostatectomy distal urethral strictures underwent urethral reconstruction with a ventral transverse island fasciocutaneous penile flap. All patients had undergone multiple urethral dilatations. Stricture length was less than 1.5 cm in all cases. Urethral catheter was removed within 3 weeks. Followup included an initial uroflowmetry obtained 1 month after removal of the catheter followed by re-assessment at third month. The patients were followed for urinary pattern changes and/or irritative symptoms with a mean followup of 30.2 months (range 4 to 96). Results: Mean maximum urine flow rate at first month assessment was 17 ml per second. Flap necrosis and fistula developed in 1 patient 3 months after surgery. In the remaining patients stricture was not evident. A mild urinary splaying was observed in all patients which improved significantly within 6 weeks. A functional and cosmetic outcome was achieved in 96% of the patients. Conclusions: Reconstruction of post-prostatectomy strictures involving the fossa navicularis and external meatus with ventral transverse island fasciocutaneous penile flap is an efficient method for the restoration of a functional and cosmetic penis with preserved glandular integrity. References 1 : Urethral reconstruction of strictures resulting from treatment of benign prostatic hypertrophy and prostate cancer. Urol Clin North Am2002; 29: 417. Google Scholar 2 : Reconstruction of the fossa navicularis. J Urol1987; 138: 102. Link, Google Scholar 3 : Reconstruction of resistant strictures of the fossa navicularis and meatus. J Urol1998; 160: 359. Link, Google Scholar 4 : Management of fossa navicularis strictures. Urol Clin North Am2002; 29: 477. Google Scholar 5 : Urethral stricture following transurethral prostatectomy. Urology1990; 35: 18. 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Link, Google Scholar 12 : Anterior urethral strictures: etiology and characteristics. Urology2005; 65: 1055. Google Scholar © 2008 by American Urological AssociationFiguresReferencesRelatedDetailsRelated articlesJournal of UrologyFeb 15, 2008, 12:00:00 AMDeconstructing Reconstructive Urology Volume 179Issue 4April 2008Page: 1437-1440 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordssurgical flapsprostatectomyurethral stricturereconstructive surgical proceduresMetricsAuthor Information Şinasi Yavuz Önol Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey More articles by this author Fikret Fatih Önol M.O.H. Sakarya Training and Research Hospital, Sakarya, Turkey More articles by this author Serhat Onur M.O.H. Validebağ State Hospital, Istanbul, Turkey More articles by this author Haluk Inal Clinic of Urology, Mevkii Military Hospital, Cyprus More articles by this author Alpaslan Akbaş Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey More articles by this author Osman Köse Clinic of Urology, Vakıf Gureba Training and Research Hospital, Istanbul, Turkey More articles by this author Expand All Advertisement PDF DownloadLoading ...