World Journal of Urology

, Volume 37, Issue 12, pp 2769–2774 | Cite as

Contemporary analysis of management of isolated pendulous urethral strictures using pedicled skin flap urethroplasty repair

  • Ramiro J. Madden-FuentesEmail author
  • Michael J. Belsante
  • Michael A. Granieri
  • Andrew C. Peterson
Original Article



To evaluate contemporary outcomes of urethroplasty employing a pedicled skin flap for isolated pendulous urethral strictures.


Inclusion of males > 18 years of age with isolated pendulous urethral strictures treated between 1996 and 2012.


A total of 81 patients with isolated pendulous urethral stricture were identified. Twenty-eight patients underwent repair with a pedicled skin flap during the study period. The median age of the patients treated with a pedicled skin flap was 47 years old (range 21–74). The etiology of the strictures was considered to be idiopathic in 10 patients (35.7%), iatrogenic in 9 patients (32.1%), as a complication of prior hypospadias repair in 6 patients (21.4%), infectious in 2 patients (7.1%), and traumatic in 1 patient (3.6%). The median follow-up was 27 months (range 1–214). Urethroplasty success was noted in 19/21 patients (90.5%). Urethral stricture recurrence occurred in 2 of the 21 patients (9.5%).


The pedicled skin flap repair for pendulous urethral strictures remains a durable and safe technique in patients without LS.


Urethroplasty Urethral stricture Pedicled skin flap Orandi urethroplasty 


Author contributions

RJMF: project development, data collection and analysis, and manuscript writing. MJB: data collection and analysis, and manuscript writing. MAG: project development, data analysis. AC: project development, data analysis, and manuscript writing. Authors whose names appear on the submission have contributed sufficiently to the scientific work and therefore share collective responsibility and accountability for the results.

Compliance with ethical standards

Conflict of interest

The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. This protocol was carried out after review from the Institutional Review Board.

Studies involving human participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was deemed excluded from informed consent by the IRB.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Concord Hospital, Center for Urologic CareConcordUSA
  2. 2.Urology Associates of NashvilleNashvilleUSA
  3. 3.Conrad Pearson ClinicGermantownUSA
  4. 4.Division of Urology, Department of SurgeryDuke University Medical CenterDurhamUSA

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