Ventral prepucial flap meatoplasty in the treatment of distal urethral male strictures.
OBJECTIVE
The authors evaluate their experience with Jordan flap meatoplasty in the treatment of distal men's urethral stricture from the functional and cosmetic point of view.


METHODS
We have performed meatoplasties on 21 patients with distal urethral stenosis with an average age of 48 years (range 35-72). Seven patients had meatal strictures, eight patients had combined meatal and distal urethral strictures and six patients had already undergone a meatotomy which was functionally and cosmetically unsuccessful. The patients were followed-up for an average of 35 months (range 24-40).


RESULTS
The reconstruction used was successful in all patients. There was no incidence of recurrence of stricture. All patients were satisfied with cosmetic result. During micturition the flow is consistent and without spray. Uroflowmetry and urethral calibration 24-36 months post surgery didn't reveal any stricture recurrence. To date there have been no complications.


CONCLUSIONS
Meatoplasty as described by Jordan is a method with very satisfactory functional and cosmetic results and is suitable for the reconstruction of meatal and distal urethra strictures.
Fiala
Richard
R
Department of Urology, University Hospital, I P Pavlova 6, 779 00 Olomouc, Czech Republic. fialar@fnol.cz
Vrtal
Radovan
R
Zenisek
Jaroslav
J
Grimes
Sean
S
D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*