title: [Urethroplasty with circular fasciocutaneous flap in the treatment of complex anterior urethral strictures].
abstract: OBJECTIVE
  To summarize the experience of urethral reconstruction using circular fasciocutaneous flap for the treatment of complex anterior urethral strictures.
  
  
  METHODS
  The circular fasciocutaneous flap was harvested from the distal penile shaft or foreskin. Then the circular configuration was converted into longitudinal strip of skin which was rotated to ventral side to repair the exposured urethral strictures using the ventral onlay method. The surveillance protocol after urethroplasty was urination observation, regularly uroflowmetry and urethrography examination.
  
  
  RESULTS
  From Nov. 2006 to Oct. 2012, 15 cases were treated. The mean age was 45 years (20-76 years) and mean follow-up period was 18 months(3 months-3 years). Stricture was caused by chronic urethritis in 4 cases, long-term urethral catheterization in 3 cases, transurethral perfusion chem other aphy in 3 cases, transurethral prostatectomy in 3 cases and hypospadias after surgery in 2 patients. The mean stricture length was 7.0 cm (3.5-12.0 cm). The overall success rate was 80.0% (12/15). Recurrence stenosis was noted in 2 cases and diverticulum formation in 1 case.
  
  
  CONCLUSIONS
  The penile circular fasciocutaneous flap can be used for anterior urethral stricture in nearly any length. The flap has the characteristics of hairless, adequate mobile and length, well-vascularized pedicle and easy to harvest. The onlay reconstruction provides excellent cosmetic results, less trauma, higher success rate. Therefore it should be one of the preferred techniques for complex anterior urethral stricture repair.
authors.forename: Zhi-qiang
authors.initials: ZQ
authors.lastname: Fan
authors.forename: Xue-Jun
authors.initials: XJ
authors.lastname: Huangfu
authors.forename: Fei-Jie
authors.initials: FJ
authors.lastname: Wang
authors.forename: Jian-Wei
authors.initials: JW
authors.lastname: Hao
authors.forename: Rui-Jin
authors.initials: RJ
authors.lastname: Zhou
authors.forename: Zhong-Hua
authors.initials: ZH
authors.lastname: Liu
mesh_terms: D005500:Follow-Up Studies; D052816:Foreskin; D006801:Humans; D007021:Hypospadias / Q000601:surgery; D008297:Male; D010413:Penis / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects; D012008:Recurrence; D013524:Surgical Flaps / Q000637:transplantation*; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male; D014945:Wound Healing