Penile Fasciocutaneous Flap Urethoplasty. Recent Experience and Challenges in a sub-Saharan African Teaching Hospital
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Date
2009-10
Authors
Tijani, K.
Adesanya, A.
Ogo, C.E.
Osegbe, D.
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
OBJECTIVE: To evaluate penile fasciocutaneous flap urethroplasty for complex anterior urethral strictures in circumcised West African men. METHODS: Between January 2002 and December 2006, 26 patients with anterior urethral strictures underwent penile fasciocutaneous flap urethroplasty (PFU), using a modification of the technique described by Quartey (Quartey JKM. J Urol. 1985;134:474-475). Of these patients, 21 had dorsal onlay patches and 5 had tubularize patches. Average follow-up was 19 months. RESULTS: There was a 100% immediate success rate with the dorsal onlay group. No recurrence was seen in all patients available for follow-up at 30 months. The tubularized flap had an immediate success of 80% but at 30 months it was only 40%. Troublesome postvoid dribbling was completely eliminated and complications were minor and few, which included 1 case of distal superficial dorsal penile skin loss, 1 case of urethrocutaneous fistula, and 2 cases of postvoid dribbling all of which were managed conservatively. CONCLUSIONS: PFU when used as a dorsal onlay gives excellent results at least in the immediate and intermediate periods in black West African population. A multiracial study to compare the effect of skin color on the short- and long-term outcome of PFU is also suggested
Description
Staff publications
Keywords
Fasciocutaneous flap , Urethral strictures , Urethroplasty , Africans , Research Subject Categories::MEDICINE::Surgery
Citation
Tijani, K., A.A Adesanya, C.N Ogo, D.N Osegbe. Penile Fasciocutaneous Flap Urethoplasty. Recent Experience and Challenges in a sub-Saharan African Teaching Hospital. Urology 2009;74:920–923