Contemporary analysis of management of isolated pendulous urethral strictures using pedicled skin flap urethroplasty repair.

To evaluate contemporary outcomes of urethroplasty employing a pedicled skin flap for isolated pendulous urethral strictures.

Inclusion of males > 18 years of age with isolated pendulous urethral strictures treated between 1996 and 2012.

A total of 81 patients with isolated pendulous urethral stricture were identified. Twenty-eight patients underwent repair with a pedicled skin flap during the study period. The median age of the patients treated with a pedicled skin flap was 47 years old (range 21-74). The etiology of the strictures was considered to be idiopathic in 10 patients (35.7%), iatrogenic in 9 patients (32.1%), as a complication of prior hypospadias repair in 6 patients (21.4%), infectious in 2 patients (7.1%), and traumatic in 1 patient (3.6%). The median follow-up was 27 months (range 1-214). Urethroplasty success was noted in 19/21 patients (90.5%). Urethral stricture recurrence occurred in 2 of the 21 patients (9.5%).

The pedicled skin flap repair for pendulous urethral strictures remains a durable and safe technique in patients without LS.

World journal of urology. 2019 Mar 01 [Epub ahead of print]

Ramiro J Madden-Fuentes, Michael J Belsante, Michael A Granieri, Andrew C Peterson

Concord Hospital, Center for Urologic Care, Concord, NH, 03301, USA. ., Urology Associates of Nashville, Nashville, TN, 37209, USA., Conrad Pearson Clinic, Germantown, TN, 38138, USA., Division of Urology, Department of Surgery, Duke University Medical Center, Durham, NC, 27710, USA.

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