[Urethroplasty using a pedicled skin graft in one-stage treatment of urethral stenosis. Review of 87 cases].
118 cases of urethral stenosis treated by the same surgeon from September, 1984, to December, 1989, have led the author to describing a one-stage technique for the surgical treatment of urethral stenosis using a widening implant or a pedicled penoscrotal tube. This technique is patterned on ORANDI's and BLANDY's procedures and utilizes a pedicled skin graft taken from a remote, therefore unaffected, site. 87 patients were treated with this procedure for urethral stenosis, often complicated by infection and fistulae, 34 after the failure of previous treatment. With a distance in time exceeding 2 years for most operated cases, the percentage of satisfied patients is of about 95%. The results were estimated according to the quality of urination, to the strength of the urine flow, to micturating and retrograde pyelography and to a fiberendoscopic checkup. In 71 cases (81.6%), the result was rated as good, immediately in 66 cases, after a second operation in 4 and after 3 operations in 1 case. The results were regarded as average in 12 cases (13.5%) and poor in 4 cases (4.6%). Cutaneous urethroplasty using a pedicled skin flap is relatively easy and represents an excellent procedure for the treatment of urethral stenosis owing to the low rate of failure and to the quality of the results obtained. The author stresses the advantages of grafting a well-vascularized skin flap, which is particularly indicated, whatever the site and extent, in cases of urethral stenosis with infection, fistulae or following several operations, the pedicled skin graft being a procedure of choice for all these aggravating factors.
Falandry
L
L
Service d'Urologie, Centre Hospitalier de Libreville, Université Omar Bongo, Libreville, Gabon.
D003559:Cystostomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery; D012611:Scrotum / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods*; D013536:Suture Techniques; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*
L'urétroplastie par lambeau cutané pédiculé dans le traitement en un temps des sténoses urétrales. A propos de 87 cas.