title: Meatoplasty for gross urethral stenosis: a technique of repair and a review of 32 cases.
abstract: This paper is a review of the treatment of 32 cases of meatal stenosis arising as a complication of recurrent balanoposthitis (26 cases) or balanitis xerotica obliterans (six cases). There was gross scarring of the glans and the terminal urethra resulting in a contracted glans and a pinhole meatus. These deformities were treated successfully by segmental excision of all the scar on the glans and resurfacing the raw area with a local preputial or penile skin flap. In two patients a ventral midline flap was introduced as an island flap. In no case was a ventral slit made as the only definitive treatment of the meatal stenosis. Two instruments were made specifically to facilitate this type of operation.
mesh_terms: D001446:Balanitis / Q000150:complications; D006801:Humans; D008297:Male; D013523:Surgical Equipment; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D014554:Urination