[Reparative treatment of urethral defect in adult penis]
Yangqun Li1, Yong Tang, Wen Chen
1Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100041, PR China.
Objective:
To summarize the methods of repairing the urethral defect in the penis of an adult and the clinical application of the island skin flaps of the scrotum septum to the reparative treatment.
Methods:
From January 2000 to November 2005, twenty-six cases of urethral defect in penis, including 16 cases of congenital urethral defect, 6 cases of traumatic urethral defect in middle penis, and 4 cases of distal urethral defect, were repaired by the local penis fascia flaps. The island skin flaps of the scrotum septum were transferred to cover the penis wound. The pedicle contained the artery of the posterior scrotum and the artery of the anterior scrotum. The flap taken from the scrotum septum was 2.5 cm x 5.5 cm in area.
Results:
After a follow-up of 7 months to 4 years, all the 26 patients had the healing of the first intention without urethral fistula, urethral narrowness or penis curvature, except 4 patients who developed infection and leakage of urine, but the wounds healed spontaneously 2-4 weeks after operation.
Conclusion:
The penis fascia flaps and the island skin flaps of the scrotum septum can be used to repair the urethral defect in the penis of an adult. The blood supply to the flaps is sufficient and all the flaps can survive well. A good shape and function of the penis can be obtained.
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