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Spermatic cord for onlay coverage of urethral defect
1Division of Urology, Denver General Hospital, Colorado.
The Journal of Urology
|March 1, 1991
Summary
Segmental urethral necrosis can occur with scrotoperineal gangrene. Applying the spermatic cord to urethral defects offers a successful surgical solution, preserving urethral dimensions.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Scrotoperineal gangrene can lead to segmental urethral necrosis.
- Primary closure of urethral defects may cause unacceptable narrowing.
Observation:
- A novel surgical technique was employed to manage urethral defects.
- The intact spermatic cord was utilized to reconstruct the urethra.
Findings:
- Successful management of urethral defects in 5 patients.
- Preservation of urethral dimensions was achieved using the spermatic cord.
Implications:
- This technique provides a viable alternative for complex urethral reconstruction.
- It may prevent long-term complications associated with urethral stricture.