Application of dorsal preputial island flap in meatoplasty.
OBJECTIVE
Meatal stenosis usually presents in adults with a history of urethral trauma or inflammation or as a complication after hypospadias repair. The objective of this study is to present the correction of meatal stenosis using a preputial island flap, created on the dorsal surface of the penis.


METHODS
During the last 3 years 12 patients were subjected to meatoplasty using a preputial flap. A meatotomy was performed and a preputial island flap was raised on the dorsal surface of the penis, that was brought to the ventral surface and anastomosed to the opened fossa navicularis.


RESULTS
Mean follow-up is 22.3 (range 6-40) months and urethral meatus remains normal with good caliber in routine examination mainly with dilators and uroflowmetry.


CONCLUSIONS
The described method was based on the on-lay preputial island flap procedure (Duckett's method) for correction of anterior hypospadias. The cosmetic result is excellent and normal penile morphology and function are well preserved.
Radopoulos
Demetrios
D
Aristotle University of Thessaloniki, 1st Department of Urology, Thessaloniki, Greece.
Dimitriadis
Georgios
G
Tahmatzopoulos
Anastasios
A
Vasilakakis
Ioannis
I
Malioris
Apostolos
A
D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*