Most patients of urethral stricture can be cured by urethral dilatation or visual internal urethrotomy. But, it is necessary to perform accurate surgical urethroplasty in complex urethral stricutre such as extensive or multiple urethral
strictures,
urethrocutaneous fistula, urethral diverticulum, periurethral scar and chronic inflammation. Usually urethroplasty can be performed in one-stage, using standard end-to-end urethral anastomosis or full thickness skin graft or vascularized skin
flap
urethroplasty. But, in high risk cases, sometimes, two-stage scrotal inlay operation is adopted.
We report 3 successful results with urethroplasty using vascularized penile dorsal skin flap which was made from rectangularily designed penile dorsal skin with longitudinal incision, one was inflammatory posterior urethral stricutre associated
with
traumatic urethrocutaneous fistula, the other was extensive and multiple inflammatory bulbous urethral stricutre and anothar was intractable penile urethral stricture; totally in 3 cases.
|