title: [Two-stage surgical treatment of urethral stenosis].
abstract: We analysed the results of two-operation procedures for cutaneous urethroplasty performed over a 10 year period. From 1983 to 1993, 44 patients had a Leadbetter urethroplasty. The indication in all cases was stenosis of the bulbal or bulbomenbranous urethra complicated by urethro-cutaneous fistula. After the first operation, 10 patients (22.7%) had a stenosis of one or both of the urethrostomy orifices, requiring one or more further procedures. The second operation concerned 18 patients (40.9%) and gave goods results in 10 (55.5%). Poor results were due to recurrence of the stenosis in 3 cases (16.6%), perineal suppuration in 1 (5.5%), failure of the skin plasty in 1 (5.5%) and formation of a stenosis by a tuft of hair in 1 (5.5%). Finally, 2 patients were lost to follow-up. Mean interval between operations was 8 months. It appears, despite the drawbacks and uncertain results, that sequential operations for cutaneous urethroplasty are indicated when stenosis of the urethra is complicated by fistulization or perineal infection.
authors: Service d'Urologie, CHU Averroés, Casablanca, Maroc.
authors: R
authors: R
authors: Aboutaieb
authors: A
authors: A
authors: Joual
authors: A
authors: A
authors: El Moussaoui
authors: M
authors: M
authors: El Mrini
authors: S
authors: S
authors: Benjelloun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D013524:Surgical Flaps; D014525:Urethral Stricture / Q000601:surgery*
vernacular_title: Traitement chirurgical en 2 temps des sténoses de l'urètre.