Urethroplasty for balanitis xerotica obliterans.
OBJECTIVE
To review the results of different methods of urethroplasty for anterior urethral strictures caused by balanitis xerotica obliterans (BXO).


METHODS
Twenty-eight patients underwent urethroplasty for BXO; 12 had a one-stage pedicled penile skin-flap urethroplasty and 16 excision and a two-stage free-graft urethroplasty using nongenital skin.


RESULTS
The treatment failed in all patients undergoing a one-stage pedicle penile skin urethroplasty because the disease recurred with BXO, whereas the treatment failed in only one patient using a two-stage free graft procedure.


CONCLUSIONS
A two-stage free-graft urethroplasty using nongenital skin is recommended for anterior urethral strictures caused by BXO.
Venn
S N
SN
Institute of Urology and Nephrology and Department of Urology, Guy's Hospital, London, UK.
Mundy
A R
AR
D001446:Balanitis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012008:Recurrence; D012086:Reoperation; D013524:Surgical Flaps; D017211:Treatment Failure; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*