The Island Patch

  • J. P. Blandy
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)


Although musculocutaneous skin grafts are now widely used by plastic surgeons, they were introduced to urology by the Leadbetters (1962), Yaxley (1967) and Orandi (1968), who utilised a pedicle of the well- vascularised dartos muscle to transfer an overlying island of scrotal skin into a defect in the urethra. Since there is nearly always an abundance of scrotal skin, and since it is completely lined by dartos, there is no limit to the length or site of the urethral defect that can be enlarged or even completely replaced.


Urethral Stricture Urologic Surgery Skin Patch Scrotal Skin Chromic Catgut 
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  1. Blandy JP (1986) Operative urology, 2nd edn. Blackwell Scientific, Oxford, pp 206–227Google Scholar
  2. Leadbetter GW, Leadbetter WF (1962) Urethral strictures in male children. J Urol 87: 409–415Google Scholar
  3. Orandi A (1968) One-stage urethroplasty. Br J Urol 40: 717–719PubMedCrossRefGoogle Scholar
  4. Yaxley RP (1967) One-stage urethroplasty. Aust NZ J Surg 36: 332–334CrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1988

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  • J. P. Blandy

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