Document Detail

Penile fasciocutaneous flap urethroplasty: recent experience and challenges in a sub-Saharan African teaching hospital.
MedLine Citation:
PMID:  19628266     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate penile fasciocutaneous flap urethroplasty for complex anterior urethral strictures in circumcised West African men. METHODS: Between January 2002 and December 2006, 26 patients with anterior urethral strictures underwent penile fasciocutaneous flap urethroplasty (PFU), using a modification of the technique described by Quartey (Quartey JKM. J Urol. 1985;134:474-475). Of these patients, 21 had dorsal onlay patches and 5 had tubularize patches. Average follow-up was 19 months. RESULTS: There was a 100% immediate success rate with the dorsal onlay group. No recurrence was seen in all patients available for follow-up at 30 months. The tubularized flap had an immediate success of 80% but at 30 months it was only 40%. Troublesome postvoid dribbling was completely eliminated and complications were minor and few, which included 1 case of distal superficial dorsal penile skin loss, 1 case of urethrocutaneous fistula, and 2 cases of postvoid dribbling all of which were managed conservatively. CONCLUSIONS: PFU when used as a dorsal onlay gives excellent results at least in the immediate and intermediate periods in black West African population. A multiracial study to compare the effect of skin color on the short- and long-term outcome of PFU is also suggested.
K H Tijani; A A Adesanya; C N Ogo; D N Osegbe
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Publication Detail:
Type:  Journal Article     Date:  2009-07-22
Journal Detail:
Title:  Urology     Volume:  74     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-05     Completed Date:  2009-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  920-3     Citation Subset:  IM    
Department of Surgery, College of Medicine, University of Lagos, Lagos, Nigeria.
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MeSH Terms
Hospitals, Teaching
Middle Aged
Surgical Flaps*
Urethra / surgery*
Urethral Stricture / surgery*
Young Adult

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