Perineum-based Pediculated Scrotal Flap for Reconstructive Urethral Surgery
1Department of Urology, Wonkwang University College of Medicine, Iksan, Korea.
International Neurourology Journal
|July 21, 2012
Summary
This study presents a perineum-based scrotal flap technique for successful urethral reconstruction. The procedure effectively treated both penile urethral strictures and injuries, enabling normal voiding post-operation.
Area of Science:
- Urology
- Surgical Innovation
- Reconstructive Surgery
Background:
- Urethral strictures and injuries pose significant reconstructive challenges.
- Existing methods for urethral reconstruction have limitations.
- Scrotal tissue offers a viable option for urethral repair.
Purpose of the Study:
- To describe and evaluate a perineum-based pediculated scrotal flap procedure for urethral reconstruction.
- To assess the efficacy of this technique in treating diverse urethral pathologies.
Main Methods:
- A perineum-based pediculated scrotal flap was utilized for urethral reconstruction.
- Case 1 involved a scrotal tubular flap for proximal penile urethral stricture.
- Case 2 employed a scrotal island patch for iatrogenic penile urethral injury.
Main Results:
- Successful urethral reconstruction was achieved in both cases.
- Patients demonstrated normal voiding following catheter removal on postoperative day 14.
- Voiding cystourethrography confirmed successful outcomes.
Conclusions:
- The perineum-based pediculated scrotal flap procedure is a reliable method for urethral reconstruction.
- Excellent axial vascularization ensures successful outcomes regardless of stricture characteristics.
- This technique offers a versatile solution for various urethral defects.
