title: Q-flap reconstruction of panurethral strictures.
abstract: OBJECTIVE
  To review our experience with an extended Q-shaped penile skin flap for the reconstruction of panurethral strictures.
  
  
  METHODS
  Between 1991 and 1999, 15 men with extensive strictures underwent a single-stage urethral reconstruction with a distal circumferential penile skin flap incorporating a ventral midline extension (Q-flap). None had undergone previous urethroplasty nor had any been circumcised.
  
  
  RESULTS
  The Q-flap provided a pedicled strip of penile skin with a mean (range) length of 17 (15-24) cm; no additional graft materials were necessary. Excellent results were obtained in 10 patients; in the remainder, complications included recurrent stricture (in two) and (in one patient each) a cerebral vascular accident, urethrocutaneous fistula, meatal stenosis, femoral neuropathy and prolonged catheterization for focal extravasation.
  
  
  CONCLUSIONS
  The Q-flap provides an abundant hairless penile skin flap that enables single-stage panurethral reconstruction while eliminating the additional time and morbidity of harvesting further grafts.
authors: Urology Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6360, USA.
authors: A F
authors: AF
authors: Morey
authors: L K
authors: LK
authors: Tran
authors: L M
authors: LM
authors: Zinman
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D013524:Surgical Flaps; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000601:surgery*