[Single-stage urethroplasty using a mobile pedicled cutaneous flap. Value of the extension patch and the tubular flap].
The author presents a well experimented technique for male urethral strictures. This plasty uses a mobile skin flap, taken from the scrotum or the penis, and vascularized from the dartos. The technique performed under locoregional anesthesia, offers a choice of two methods of repair: the widening patch and the substitution plasty, a tubularized graft for urethral substitution. Our technique is applicable to all types of stenoses, allowing one stage repair of all urethral strictures, whatever the cause, the site or the length of the stricture. Attention is called for on two technical points: the size of the flap which must be shorter than the urethral tissue loss; careful dissection of the pedicle, whose excellent blood supply, flexibility and mobility will provide a wide maneuverability to the graft. We have performed 237 cases using this technique and have obtained excellent results (96.7) success rate, which have proven long lasting, as follow-up exceeded 7 years for the oldest cases. Although our technique requires meticulous execution, calling for certain precautionary items that the author attempts to emphasize in this article, this widely used technique, because of its reliability and efficiency, may certainly be considered at first, particularly for the repair of difficult, infected, fistulated, and recurrent urethral strictures.
Falandry
L
L
Service d'Urologie, Centre Hospitalier Universitaire de Libreville, Gabon.
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery; D012611:Scrotum / Q000601:surgery; D013524:Surgical Flaps; D014525:Urethral Stricture / Q000601:surgery*
L'urétroplastie en un temps par lambeau cutané pédiculé mobile. Intérêt du patch d'élargissement et de la plastie tubulée.