title: Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures.
abstract: OBJECTIVE
  This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach.
  
  
  METHODS
  Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty through a penoscrotal inversion technique. The clinical outcome was considered a failure when any instrumentation was needed postoperatively, including dilatation.
  
  
  RESULTS
  Five patients underwent the novel procedure. The patients' mean age was 58 years. The cause of stricture was instrumentation in 2 cases (40%), lichen sclerosis in 1 case (20%), and failed hypospadias repair in 2 cases (40%). The mean stricture length was 3 cm. The overall mean (range) follow-up was 6 months (range, 3-9 months). Of the 5 patients, 4 (80%) had a successful outcome and 1 (20%) had a failed outcome. The failure was successfully treated by use of a meatotomy.
  
  
  CONCLUSIONS
  The penile inversion technique through a penoscrotal incision is a viable option for the management of penile urethral strictures with several advantages to other techniques: namely, no penile skin incision, a single-stage operation, and supine positioning.
authors.affiliation: Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.
authors.forename: Jonathan N
authors.initials: JN
authors.lastname: Warner
authors.affiliation: Department of Urology, University of Michigan, Ann Arbor, MI, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Tracey
authors.affiliation: Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.
authors.forename: Ali A
authors.initials: AA
authors.lastname: Zhumkhawala
authors.affiliation: Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Chan
authors.affiliation: Department of Surgery, City of Hope Medical Center, Duarte, CA, USA.
authors.forename: Clayton S
authors.initials: CS
authors.lastname: Lau
mesh_terms: D000368:Aged; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation; D056888:Patient Positioning; D010413:Penis / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care / Q000379:methods; D012611:Scrotum / Q000601:surgery*; D016896:Treatment Outcome; D014525:Urethral Stricture / Q000601:surgery*
keywords: Mouth mucosa; Surgery; Urethral stricture