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
Related Documents :
17566756 - A prospective, randomized, placebo-controlled, double-blinded, and split-face clinical ...
14568836 - Laser-mediated photodynamic therapy of actinic keratoses.
2633886 - Adverse reactions after large-scale treatment of onchocerciasis with ivermectin: combin...
15008866 - Efficacy of hydroquinone (2%) versus tretinoin (0.025%) as adjunct topical agents for c...
24008276 - Effect of prolonged weekly hemodialysis on survival of maintenance hemodialysis patient...
23806796 - Treatment of chronic deep vein thrombosis using ultrasound accelerated catheter-directe...
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.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hospitals, Teaching
Middle Aged
Surgical Flaps*
Urethra / surgery*
Urethral Stricture / surgery*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Complex case of urethral duplication with megalourethra.
Next Document:  Comparison of tissue oxygenation profiles using 3 different methods of vascular control during porci...