title: Reconstruction of strictures of the fossa navicularis and meatus with transverse island fasciocutaneous penile flap.
abstract: OBJECTIVE
  Reconstruction of post-prostatectomy strictures involving the fossa navicularis and external urethral meatus following benign prostatic hyperplasia treatment is challenging in terms of creating a functional and cosmetically appealing penis. We reviewed our results with the use of ventral transverse island fasciocutaneous penile flap in the reconstruction of these strictures.
  
  
  METHODS
  Between 1997 and 2007 a total of 26 men (mean age 59 years, range 49 to 76) with post-prostatectomy distal urethral strictures underwent urethral reconstruction with a ventral transverse island fasciocutaneous penile flap. All patients had undergone multiple urethral dilatations. Stricture length was less than 1.5 cm in all cases. Urethral catheter was removed within 3 weeks. Followup included an initial uroflowmetry obtained 1 month after removal of the catheter followed by re-assessment at third month. The patients were followed for urinary pattern changes and/or irritative symptoms with a mean followup of 30.2 months (range 4 to 96).
  
  
  RESULTS
  Mean maximum urine flow rate at first month assessment was 17 ml per second. Flap necrosis and fistula developed in 1 patient 3 months after surgery. In the remaining patients stricture was not evident. A mild urinary splaying was observed in all patients which improved significantly within 6 weeks. A functional and cosmetic outcome was achieved in 96% of the patients.
  
  
  CONCLUSIONS
  Reconstruction of post-prostatectomy strictures involving the fossa navicularis and external meatus with ventral transverse island fasciocutaneous penile flap is an efficient method for the restoration of a functional and cosmetic penis with preserved glandular integrity.
authors.affiliation: Clinic of Urology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey.
authors.forename: Sinasi Yavuz
authors.initials: SY
authors.lastname: Onol
authors.forename: Fikret Fatih
authors.initials: FF
authors.lastname: Onol
authors.forename: Serhat
authors.initials: S
authors.lastname: Onur
authors.forename: Haluk
authors.initials: H
authors.lastname: Inal
authors.forename: Alpaslan
authors.initials: A
authors.lastname: Akbaş
authors.forename: Osman
authors.initials: O
authors.lastname: Köse
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D011470:Prostatic Hyperplasia / Q000601:surgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D000093667:Penile Transplantation