title: [Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans. Long term results using the meatoplasty of Malone].
abstract: OBJECTIVE
  To present our experience in the treatment of severe stenosis of the external urinary meatus in male children and adults with balanitis xerotic obliterans.
  
  
  METHODS
  A total of 21 patients were operated on in a 5-year period, using the meatoplasty technique of Malone. Mean patient age was 41.7 years (range 7-75). Mean postoperative follow-up was 40.8 months (range 6-54). The surgical procedure consisted in making a small ventral incision of the urethral meatus with an extensive dorsal meatotomy, correcting the esthetic defect of the gland with an inverted V-shaped relieving incision. The postoperative evaluation was performed in every patient by written questionnaire informing about the functional and cosmetic results of the surgical technique.
  
  
  RESULTS
  No post-surgical complications or recurrences of the urethral stenosis were recorded. A total of 18 patients (85.7%) replied to the post-surgical questionnaire. All were very satisfied with the functional result. Fifteen (83.3%) were also very satisfied with the cosmetic results of the technique.
  
  
  CONCLUSIONS
  The meatoplasty of Malone is a good alternative for the treatment of urethral meatal stenosis. It is an easy and rapid-to-perform technique. It avoids creating a hypospadiac meatus and achieves good postoperative results.
authors.affiliation: Servicio de Urología, Universidad del Saarland, Homburg/Saar, Alemania. aetreiyer@yahoo.com.ar
authors.forename: A
authors.initials: A
authors.lastname: Treiyer
authors.forename: P
authors.initials: P
authors.lastname: Anheuser
authors.forename: B
authors.initials: B
authors.lastname: Reisch
authors.forename: J
authors.initials: J
authors.lastname: Steffens
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D052798:Balanitis Xerotica Obliterans / Q000150:complications*; D002648:Child; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014525:Urethral Stricture / Q000209:etiology* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods; D055815:Young Adult