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Perineum-based Pediculated Scrotal Flap for Reconstructive Urethral Surgery

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초록

Herein, we describe a perineum-based pediculated scrotal flap procedure for urethral reconstruction. A scrotal tubular flap was used as a substitute to correct a proximal penile urethral stricture in case 1. In case 2, a scrotal island patch was performed to treat an iatrogenic penile urethral injury. In both cases, the urethral catheter was removed on postoperative day 14 with simultaneous normal voiding cystourethrography. The excellent axial vascularization of this perineum-based pediculated scrotal flap procedure allows successful urethral reconstruction, regardless of extension, location, and etiology.

Abstract

Herein, we describe a perineum-based pediculated scrotal flap procedure for urethral reconstruction. A scrotal tubular flap was used as a substitute to correct a proximal penile urethral stricture in case 1. In case 2, a scrotal island patch was performed to treat an iatrogenic penile urethral injury. In both cases, the urethral catheter was removed on postoperative day 14 with simultaneous normal voiding cystourethrography. The excellent axial vascularization of this perineum-based pediculated scrotal flap procedure allows successful urethral reconstruction, regardless of extension, location, and etiology.

참고문헌 (7)

  1. Mundy AR, "Urethral strictures", BJU Int, 107, pp.6~26 (2011)
  2. Gil-Vernet A, "Scrotal flap epilation in urethroplasty: concepts and technique", J Urol, 154, pp.1723~1726 (1995)
  3. Gil-Vernet J, "A new biaxial epilated scrotal flap for reconstructive urethral surgery", J Urol, 158, pp.412~420 (1997)
  4. Yachia D, "A new, one-stage pedicled scrotal skin graft urethroplasty", J Urol, 136, pp.589~592 (1986)
  5. Agarwal MM, "Unusual cause of failure of end-to-end anastomotic urethroplasty for traumatic obliterative bulbar urethral stricture", Urology, 78, pp.331~333 (2011)
  6. Carrera A, "Arteries of the scrotum: a microvascular study and its application to urethral reconstruction with scrotal flaps", BJU Int, 103, pp.820~824 (2009)
  7. Goel A, "Management of panurethral strictures", Indian J Urol, 27, pp.378~384 (2011)

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