[Meatoplasty with pedicle flap for meatal stenosis secondary to chronic balanitis].
OBJECTIVE
To evaluate the effect of meatoplasty with the pedicle flap in the treatment of meatal stenosis secondary to chronic balanitis.


METHODS
We retrospectively analyzed 32 cases of meatal stenosis secondary to chronic balanitis treated by meato- plasty with the pedicle flap. All the patients had a history of chronic balanitis and had received meatal dilatation or simple ventral mea- totomy without significant effect. Their mean maximum urinary flow rate (Qmax) was (4.3 ± 2.4) ml/s. During the operation, A "/\"-shaped incision was made in the healthy epidermis and a flap was harvested from the frenulum. After complete removal of the scar, the flap was placed into the urethral wall, followed by reconstruction of the external urethral orifice.


RESULTS
The patients were fol- lowed up for 6 to 30 months, which revealed smooth urination in all the patients with Qmax of (26.7 ± 4.5) ml/s and normal erectile function and uresiesthesis.


CONCLUSIONS
With little invasiveness and few complications, meatoplasty with the pedicle flap is an ideal surgical method for the treatment of meatal stenosis secondary to chronic balanitis. However, there might be some change in the normal appearance of the balanus postoperatively, and its long-term effect needs further observation.
Sheng-song
SS
Huang
Ya-ping
YP
Gui
Hua-rong
HR
Luo
Min
M
Wu
Qi-min
QM
Zhang
Jun-fiang
JF
Li
Deng-long
DL
Wu
D001446:Balanitis / Q000150:complications*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery*; D004106:Dilatation; D006801:Humans; D008297:Male; D011184:Postoperative Period; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D014554:Urination