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Preputial island flap in extensive urethral stricture repair

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Summary

Seven patients with extensive urethral strictures were treated with a preputial island flap applied as a tubularised neourethra or as a patch covering the longitudinally incised urethra. This flap enables the correction of strictures as long as 9 cm. In two subjects, a double preputial island flap was employed, with the outer layer being used to replace the lacking skin. In six patients, the pedicle was based on the dorsal aspect of the penis, and in the other case is was placed on the ventral side. All of the preputial island flaps inserted had a very good blood supply. Complications developed in three patients who developed stenosis of the distal anastomosis, which was corrected by Mickulicz plasty in one case and by endoscopic urethrotomy in the two others. All subjects now void spontaneously via the urethra except for one patient, who developed a small urethrocutaneous fistula.

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References

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Authors and Affiliations

  1. Divisão de Clínica Urológica, Hospital das Clínicas-Faculdade de Medicina da Universidade de São Paulo, P.O. Box 8091, São Paulo, Brazil

    A. I. Mitre, S. Arap & A. M. Lucon

Authors
  1. A. I. Mitre
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  2. S. Arap
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  3. A. M. Lucon
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Mitre, A.I., Arap, S. & Lucon, A.M. Preputial island flap in extensive urethral stricture repair. World J Urol 10, 94–99 (1992). https://doi.org/10.1007/BF00183142

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  • DOI: https://doi.org/10.1007/BF00183142

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