title: Urethroplasty for strictures after phallic reconstruction: a single-institution experience.
abstract: BACKGROUND
  Treatment recommendations for strictures after phalloplasty are lacking.
  
  
  OBJECTIVE
  Our aim was to evaluate the outcome of urethroplasty for strictures after phalloplasty and to provide treatment recommendations based on this experience.
  
  
  METHODS
  One hundred and eighteen urethroplasties were performed in 79 patients. Mean patient age was 37.6 yr. Mean follow-up was 39 mo.
  
  
  METHODS
  Different types of urethroplasty were used: meatotomy, Heineke-Mikulicz principle (HMP), excision and primary anastomosis (EPA), free graft urethroplasty (FGU), pedicled flap urethroplasty (PFU), two-stage urethroplasty (TSU), and perineostomy followed by urethral reconstruction (PUR).
  
  
  METHODS
  Stricture recurrence was defined as the need for additional instrumentation or surgery.
  
  
  CONCLUSIONS
  Mean stricture length was 3.6 cm. Stricture location was at the meatus, phallic urethra, anastomosis, fixed part, and different locations in 18, 28, 48, 15, and 9 urethroplasties, respectively. Stricture recurrence was observed in 44 urethroplasties (41.12%). Stricture recurrence rate for meatotomy, HMP, EPA, FGU, PFU, TSU, and PUR was 25%, 42.11%, 42.86%, 50%, 40%, 30.3%, and 61.9%, respectively.
  
  
  CONCLUSIONS
  The main stricture location after phalloplasty is the anastomosis between the phallic and the fixed part. Urethroplasty for strictures after phalloplasty is associated with a relatively high recurrence rate.
  
  
  BACKGROUND
  EC UZG 2007/434.
authors.affiliation: Department of Urology, Ghent University Hospital, Ghent, Belgium. lumennicolaas@hotmail.com
authors.forename: Nicolaas
authors.initials: N
authors.lastname: Lumen
authors.forename: Stan
authors.initials: S
authors.lastname: Monstrey
authors.forename: An-Sofie
authors.initials: AS
authors.lastname: Goessaert
authors.forename: Willem
authors.initials: W
authors.lastname: Oosterlinck
authors.forename: Piet
authors.initials: P
authors.lastname: Hoebeke
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D012189:Retrospective Studies; D014189:Transsexualism / Q000601:surgery; D014525:Urethral Stricture / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult