Dorsal Island Penile Fasciocutaneous Flap for Fossa Navicularis and Meatal Strictures: Short and Intermediate Term Outcome in West African Men

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Date
2015
Authors
Tijani, K.H.
Ojewola, R.W.
Odusanya, B.
Yahya, G.L
Journal Title
Journal ISSN
Volume Title
Publisher
Urology and Nephrology research center and the Iranian Urological Association
Abstract
Purpose: The aim of this study was to evaluate the use of a dorsal island penile fasciocutaneous flap in the man­agement of resistant fossa navicularis strictures in circumcised West African men. Materials and Methods:From January 2004 to December 2013 there were twenty-one patients with fossa navic­ularis strictures (FNS) with or without meatal stenosis who underwent urethroplasty using a previously described technique and a dorsal island penile fasciocutaneous flap. The average patient follow-up was 25.9 months. Results: Urethral catheterization was the most common cause of FNS. All of the patients had successful urethral function and acceptable cosmetic results. One patient had partial dorsolateral skin necrosis that healed with con­servative measures. All patients, including the five patients with meatal stenosis,retained the natural shape of the external meatus and hada natural urine stream. Conclusion:The penile cap technique uses a dorsal island fasciocutaneous flap and provides satisfactory function­al and cosmetic outcomes in the management of fossa navicularis and meatal strictures.
Description
Staff publications
Keywords
fossa navicularis , urethral strictures , penile fasciocutaneous flap , dorsal flap , west African men , Research Subject Categories::MEDICINE::Surgery
Citation
Tijani KH, Ojewola RW, Odusanya B, Yahya GL. Dorsal Island Penile Fasciocutaneous Flap for Fossa Navicularis and Meatal Strictures: Short and Intermediate Term Outcome in West African Men. Urol J 2005;12(4):2267-70