Pendulous urethral stricture: peculiarities and relevance of longitudinal penile fascio-cutaneous flap reconstruction in poor resource community.
OBJECTIVE
To describe peculiarities of pendulous urethral stricture in South Western Nigeria and how prevalent social and environmental factors have made longitudinal distal penile island flap the preferred option for reconstruction of pendulous urethral stricture in such a poor resource community.


METHODS
All patients presenting with stricture located in the pendulous urethra in 3 hospitals in south western Nigeria, over a 5 year period were interviewed and had urethral reconstruction using longitudinal distal penile fascio-cutaneous island flap under spinal anesthesia.


RESULTS
Thirty four cases were treated by this method during this period. Complications were found in 4 patients (11.8%) which include urethrocutaneous fistula, penile skin necrosis and wound infection. All cases had satisfactory overall outcome.


CONCLUSIONS
Longitudinal penile fascio-cutaneous flap remains a viable option for a single stage repair of urethral stricture especially in poor resource communities.
1Department of Surgery,Obafemi Awolowo University,Ile-Ife, Nigeria.
Abdulkadir A
AA
Salako
1Department of Surgery,Obafemi Awolowo University,Ile-Ife, Nigeria.lajidea@yahoo.com.
Abimbola O
AO
Olajide
Department of Surgery, Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria.
Ademola A
AA
Aremu
Department of Surgery, University of Lagos, Lagos, Nigeria.
Michael O
MO
Afolayan
Department of Surgery, Federal Medical Centre, Owo, Nigeria.
Ifeoluwa E
IE
Adejare
Department of Surgery, Obafemi Awolowo University,Ile-Ife, Nigeria.
Oyediran G
OG
Oseni
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017577:Cutaneous Fistula / Q000209:etiology; D003906:Developing Countries; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology; D009549:Nigeria; D061646:Operative Time; D010413:Penis / Q000601:surgery*; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012867:Skin / Q000473:pathology; D013524:Surgical Flaps / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000209:etiology; D014525:Urethral Stricture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000209:etiology