Dorsal Island Penile Fasciocutaneous Flap for Fossa Navicularis and Meatal Strictures: Short and Intermediate Term Outcome in West African Men.
OBJECTIVE
The aim of this study was to evaluate the use of a dorsal island penile fasciocutaneous flap in the man­agement of resistant fossa navicularis strictures in circumcised West African men.


METHODS
From January 2004 to December 2013 there were twenty-one patients with fossa navic­ularis strictures (FNS) with or without meatal stenosis who underwent urethroplasty using a previously described technique and a dorsal island penile fasciocutaneous flap. The average patient follow-up was 25.9 months.


RESULTS
Urethral catheterization was the most common cause of FNS. All of the patients had successful urethral function and acceptable cosmetic results. One patient had partial dorsolateral skin necrosis that healed with con­servative measures. All patients, including the five patients with meatal stenosis, retained the natural shape of the external meatus and had a natural urine stream.


CONCLUSIONS
The penile cap technique uses a dorsal island fasciocutaneous flap and provides satisfactory function­al and cosmetic outcomes in the management of fossa navicularis and meatal strictures.
Department of Surgery, Section of Urology, College of Medicine, University of Lagos, Lagos State, Nigeria.habeeb_tijani@yahoo.com.
Kehinde Habeeb
KH
Tijani
Department of Surgery, Section of Urology, Lagos University Teaching Hospital, Lagos State, Nigeria.
Rufus Wale
RW
Ojewola
Department of Surgery, Section of Urology, Lagos General Hospital, Lagos State, Nigeria.
Benjamin
B
Odusanya
Lagos Continental Hospital, Lagos State, Nigeria.
Ganiyu Lanre
GL
Yahya
D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D009549:Nigeria / Q000453:epidemiology; D017060:Patient Satisfaction; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000453:epidemiology / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*