title: [Pedicled prepuce flap plasty: results in patients with hypospadias or urethral sticture].
abstract: BACKGROUND
  Operative interventions of the urethra remain challenging procedures. The vascular onlay flap of the inner prepuce is a possible technique for short and long segment urethral defects.
  
  
  METHODS
  A total of 195 patients were surgically treated with a vascular prepuce flap between 1994 and 2010 at the Urology Department of Essen Medical University. Patient data were analyzed retrospectively and a questionnaire was sent to all patients.
  
  
  RESULTS
  Of the patients 115 answered the questionnaires and were included in the study. Of these 61 patients were treated in childhood due to hypospadias and 54 patients suffered from acquired urethral stricture. Major complications were postoperative fistulas in 8.2 % and 7.4 % and hematomas in 6.6 % and 11.1 % of cases, respectively. Operative revision had to be performed in 13.1 % and 14.8 % of cases and severe obstructive micturition problems (IPSS score ≥ 20) were observed in only 3.3 % and 11.1% of patients, respectively. Subjective overall satisfaction with the result of the operation was high (67.2 % and 88.9 %, respectively).
  
  
  CONCLUSIONS
  The vascular prepuce flap is a reliable method for correction of short and long segment urethral defects and is associated with high patient satisfaction.
authors: Klinik für Urologie, Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstraße 55, 45147 Essen, Deutschland. christian.niedworok@uk-essen.de
authors: C
authors: C
authors: Niedworok
authors: K
authors: K
authors: Jürgensen
authors: F
authors: F
authors: Vom Dorp
authors: R
authors: R
authors: Rossi
authors: C
authors: C
authors: Füllhase
authors: I
authors: I
authors: Rübben
authors: H
authors: H
authors: Rübben
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D052816:Foreskin / Q000637:transplantation*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007021:Hypospadias / Q000453:epidemiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D016038:Skin Transplantation / Q000706:statistics & numerical data; D013524:Surgical Flaps / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000453:epidemiology* / Q000601:surgery*; D055815:Young Adult
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