title: [Pedicled penis skin flap for unilateral correction of extensive urethral strictures including meatus reconstruction].
abstract: Many techniques have been described for the repair of recurrent urethral strictures. We report our experience with the use of vascularized island skin flap repairs of urethral strictures as a one-stage procedure in 24 patients and describe the rationale for selection of the procedure, surgical technique used, results and complications. Using the pedicled penile island flap and the inner preputial skin one-stage correction is possible in urethral strictures up to the tip of the penis. The combined use of scrotal skin increases the risk of complications and thus should be avoided. Meatal reconstruction as described by De Sy gives excellent functional and cosmetic results.
authors.affiliation: Urologische Klinik und Poliklinik der TU München, Klinikum rechts der Isar.
authors.forename: W
authors.initials: W
authors.lastname: Kropp
authors.forename: R
authors.initials: R
authors.lastname: Hartung
authors.forename: J
authors.initials: J
authors.lastname: Breul
authors.forename: A
authors.initials: A
authors.lastname: Holker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013524:Surgical Flaps / Q000379:methods*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000601:surgery*; D014567:Urography
vernacular_title: Gestielte Penishautlappen zur einzeitigen Korrektur langstreckiger Harnröhrenstrikturen einschliesslich Meatusrekonstruktion.