title: Complications of transverse distal penile island flap: urethroplasty of complex anterior urethral stricture.
abstract: OBJECTIVE
  To report the complications of transverse distal penile island flap urethroplasty for urethral reconstruction in adult patients with long/multiple segments anterior urethral stricture.
  
  
  METHODS
  This prospective study was carried out on 55 patients with complex anterior urethral stricture to study complications of transverse distal penile island flap urethroplasty in two teaching hospitals between June 2002 and December 2008. Pre-, intra- and postoperative information were collected on a pro forma to generate data, which was analyzed.
  
  
  RESULTS
  The patient's mean age was 43.83 years (range, 19 to 73 years). The leading etiology of the stricture was urethral inflammation (76.4%) with the commonest complication being infection: wound infection in 9.1%, urosepsis in 3.6%, and epididymo-orchitis in 1.8% of the subjects.
  
  
  CONCLUSIONS
  Transverse distal penile island flap urethroplasty has a remarkable outcome in treatment of a long/multiple segment urethral stricture with few manageable complications.
authors.affiliation: Department of Surgery, Ladoke Akintola University of Technology, Osogbo, Osun State, Nigeria. lajidea@yahoo.com
authors.forename: Abimbola O
authors.initials: AO
authors.lastname: Olajide
authors.forename: Abdulkadir A
authors.initials: AA
authors.lastname: Salako
authors.forename: Ademola A
authors.initials: AA
authors.lastname: Aremu
authors.forename: Amogu K
authors.initials: AK
authors.lastname: Eziyi
authors.forename: Folakemi O
authors.initials: FO
authors.lastname: Olajide
authors.forename: Oluseyi O
authors.initials: OO
authors.lastname: Banjo
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014567:Urography; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects* / Q000379:methods; D055815:Young Adult