Abstract：
OBJECTIVES:Perineal urethrostomy is a well-accepted reconstructive option for complex anterior urethral stricture disease. We present a novel technique for the construction of a perineal urethrostomy that allows the surgeon greater control when managing all levels of anterior urethral stricture disease. METHODS:A perineal urethrostomy is constructed by advancing a 7-shaped laterally based perineal skin flap to the amputated bulbar or membranous urethra. RESULTS:Ten men between the ages of 48 and 79 underwent the 7-flap perineal urethrostomy for advanced urethral stricture disease; one had 7-flap revision of an existing perineal urethrostomy. Each patient was treated in an outpatient setting without perioperative complications. Nine of ten patients (90%) are voiding spontaneously without the need for urethrostomy revision or proximal urinary diversion. CONCLUSIONS:The 7-flap perineal urethrostomy is versatile, safe, and effective. It allows the surgeon maximal flexibility in the management of complex anterior urethral stricture disease.
journal_name
Urologyjournal_title
Urologyauthors
French D,Hudak SJ,Morey AFdoi
10.1016/j.urology.2010.10.053subject
Has Abstractpub_date
2011-06-01 00:00:00pages
1487-9issue
6eissn
0090-4295issn
1527-9995pii
S0090-4295(10)02006-6journal_volume
77pub_type
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