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Nigerian Journal of Surgical Research
Surgical Sciences Research Society, Zaria and Association of Surgeons of Nigeria
ISSN: 1595-1103
Vol. 8, No. 3-4, 2006, pp. 155-157
Bioline Code: sr06037
Full paper language: English
Document type: Research Article
Document available free of charge

Nigerian Journal of Surgical Research, Vol. 8, No. 3-4, 2006, pp. 155-157

 en Experience With Ventral Penile Skin Island Flap urethroplasty
Ntia, I.O. & Mungadi, I. A.


Background: Island flap techniques currently used in urethroplasty utilize the prepuce and the dorsal penile skin. Our experience with a one-stage island flap urethroplasty for urethral strictures utilizing the ventral penile skin is described.
Patients and Method: This is a longitudinal study of seventy six consecutive patients with impassable and complicated urethral strictures treated using this technique over a seven-year period. Sixty were bulbous while sixteen were bulbomembranous urethral strictures. Following operation the patients were assessed using urine flow rates, urethrograms and some urethroscopy. Restrictures were successfully reoperated.
Results: Sixty-eight patients (89.5%) had satisfactory voiding with good urine stream without complication at one year after operation. Five patients (6.6%) had restricture and three (3.9%) others had urethral bagginess and postmicturition dribbling. The overall complication rate was 10.5%. At three years after initial operation and reoperation seventy-five patients (98.7%) were voiding satisfactorily. There was one complete failure, no death.
Conclusion: This technique has produced satisfactory results compared with other similar techniques in current use. Further work is required to make valid conclusions about the value of this procedure.

Urethral stricture, Ventral penile skin, , Urethroplasty.

© Copyright 2006 - Nigerian Journal of Surgical Research

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