Distal penile fasciocutaneous flap for stricture disease of anterior urethra

ABSTRACT

To develop curative treatment for complex stricture disease involving anterior urethra. Twenty patients with a median age of 35 years with history of repeated optical internal urethrotomies >5 underwent surgery. Stricture site and length were evaluated by Retrograde and Antegrade urethrogram. Stricture calibration was done by retrograde ureteric catheter insertion of variable sizes. Onlay or tubular was flap applied over partial or blind stricture respectively ranging from 5cm to 15cm. The period of follow up was 24 months. Complications like patchy necrosis of penile skin [3] external meatal stenosis [2], Fistula [1] stricture at anastomotic site [1] and post void dribbling [5] were noted. The patient's quality of life improved following surgery. Distal penile fasciocutaneous flap is an effective tool for recurrent stricture disease involving anterior urethra