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[Ureteroplasty by penile pedicular flap]
B Diao1, A B Diallo, A K Ndoye
1Service d'urologie-andrologie du centre hospitalier universitaire A.-Le Dantec Dakar, BP 5321 Dakar-Fann, Sénégal.
Annales D'Urologie
|September 4, 2003
Summary
This study of 34 urethral stricture cases found inflammatory sclerosis to be the primary cause. Penile flap reconstruction achieved good results in 73.5% of patients, despite some early and late complications.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- Urethral stricture, characterized by scar tissue narrowing the urethra, presents a significant clinical challenge.
- Inflammatory sclerosis is a leading cause of urethral stricture, often affecting the bulbar region.
- Surgical reconstruction, utilizing techniques like penile flaps, is a common treatment modality.
Observation:
- A retrospective study analyzed 34 patients with urethral stricture (30 stenosis, 4 rupture) with a mean follow-up of 28 months.
- The average patient age was 47.5 years, with inflammatory sclerosis identified as the etiology in 73.5% of cases.
- Bulbar urethral strictures were most common (52.94%), and dysuria was the predominant symptom (n=24).
Findings:
- Peri-urethral sclerosis was observed in 44.12% of cases.
- Immediate complications included suture loosening (n=7) and urinary fistula (n=4).
- Recurrence (n=6) was the main late complication, with overall good outcomes reported in 73.5% of patients.
Implications:
- Penile flap reconstruction demonstrates efficacy in treating complex urethral strictures, offering a viable surgical option.
- Understanding the common etiologies and locations aids in surgical planning and patient selection.
- Monitoring for both early and late complications is crucial for optimizing patient recovery and long-term success.