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Repair of urethral diverticulum by plication
B W Heaton1, B W Snow, P C Cartwright
1Division of Urology, University of Utah, Salt Lake City.
Urology
|November 1, 1994
Summary
A novel urethral plication technique repairs megaurethra without opening the urethra, reducing complications. This method preserves blood supply and can be combined with hypospadias repair.
Area of Science:
- Urology
- Pediatric Surgery
- Surgical Innovation
Background:
- Megaurethra, a condition of urethral enlargement, presents significant surgical challenges.
- Existing repair techniques often involve opening the urethra, leading to potential complications.
Purpose of the Study:
- To introduce and evaluate a new urethral plication technique for megaurethra repair.
- To assess the feasibility of performing this technique without incising the urethral lumen.
Main Methods:
- Development of a urethral plication technique analogous to the Starr ureteral plication.
- Application of the technique in patients with congenital and acquired megaurethra.
- Simultaneous repair of hypospadias in conjunction with urethral plication when indicated.
Main Results:
- Successful outcomes with uneventful recovery in 8 out of 10 patients.
- One patient experienced obstruction and infection, managed successfully with drainage and antibiotics.
- A single case of coronal margin fistula occurred in a patient who underwent both urethral plication and urethral advancement.
Conclusions:
- The novel urethral plication technique effectively addresses megaurethra without requiring urethral opening.
- This approach minimizes associated complications, preserves urethral vascularity, and facilitates concurrent hypospadias repair.