Mazhar Khan, Ainul Hadi, Farrukh Ozair Shah, Ikram Ullah, Shehzad Akbar Khan.
Use of circumferential fasciocutaneous penile skin flap in the reconstruction of complex urethral strictures.
J Surg Pak Jan ;17(4):139-42.

Objective: To find out stricture free rate of penile circumferential fasciocutaneous skin flap use in complex urethral strictures. Study design: Descriptive case series. Place & Duration of study: Surgical Unit Khyber Teaching Hospital and Hayatabad Medical Complex Peshawar, from January 2000 to December 2009. Methodology: All patients with complex urethral strictures, more than 4cm long, were included. Patients were followed-up for two years and on each visit ascending urethrogram was performed. Results: A total of 48 patients with complex urethral strictures were managed. The average length of the stricture was 06cm (range 04-12cm).Total operation time was 01-03 hours (mean 02 hours). Late postoperative complications included recurrent strictures (25%), urethrocutaneous fistula (4.2%), erectile dysfunction (8.3%) and mild postmicturition dribbling (8.3%). The overall success rate at the end of two years follow-up was 75 %(n=36). Conclusion: Circumfrential fasciocutaneous penile skin flap for urethroplasty is a good option for managing complex urethral strictures with acceptable postoperative morbidity.

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