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.
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.
Authors: Maxim J McKibben; Alexander T Rozanski; Joceline S Fuchs; Varun Sundaram; Allen F Morey Journal: World J Urol Date: 2018-10-17 Impact factor: 4.226
Authors: Nicolaas Lumen; Matthias Beysens; Charles Van Praet; Karel Decaestecker; Anne-Francoise Spinoit; Piet Hoebeke; Willem Oosterlinck Journal: Biomed Res Int Date: 2015-02-19 Impact factor: 3.411
Authors: Juan Carlos Regueiro Lopez; Enrique Gomez Gomez; Alberto Alonso Carrillo; Roque Cano Castineira; Maria Jose Requena Tapia Journal: Int Braz J Urol Date: 2015 Jan-Feb Impact factor: 1.541