Penile Fasciocutaneous Flap Urethoplasty. Recent Experience and Challenges in a sub-Saharan African Teaching Hospital

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dc.contributor.authorTijani, K.
dc.contributor.authorAdesanya, A.
dc.contributor.authorOgo, C.E.
dc.contributor.authorOsegbe, D.
dc.date.accessioned2019-11-08T13:53:05Z
dc.date.available2019-11-08T13:53:05Z
dc.date.issued2009-10
dc.descriptionStaff publicationsen_US
dc.description.abstractOBJECTIVE: 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 suggesteden_US
dc.identifier.citationTijani, 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;74:920–923en_US
dc.identifier.issn10.1016/j.urology.2009.05.041
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6772
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.subjectFasciocutaneous flapen_US
dc.subjectUrethral stricturesen_US
dc.subjectUrethroplastyen_US
dc.subjectAfricansen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgeryen_US
dc.titlePenile Fasciocutaneous Flap Urethoplasty. Recent Experience and Challenges in a sub-Saharan African Teaching Hospitalen_US
dc.typeArticleen_US
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