Uretroplastika stopkatým lalokem onlay v lécbĕ striktury uretry
[Onlay island flap urethroplasty in the treatment of urethral strictures]
Language Czech Country Czech Republic Media print
Document type English Abstract, Journal Article
PubMed
9990235
- MeSH
- Surgical Flaps * MeSH
- Child MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Postoperative Complications MeSH
- Child, Preschool MeSH
- Aged MeSH
- Urethral Stricture surgery MeSH
- Urethra surgery MeSH
- Urogenital Surgical Procedures methods MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Child, Preschool MeSH
- Aged MeSH
- Publication type
- English Abstract MeSH
- Journal Article MeSH
UNLABELLED: A skin island flap was used to create a neourethra in 65 patients aged 2 to 66 years with prolonged or multiple stricture of the anterior urethra. Before, all patients were treated repeatedly and unsuccessfully by open or endoscopic surgery. The principle of the used onlay technique was to supplement the missing lumen of the urethra by an island, usually preputial flap. In case of as missing segment of the urethra the original inlay-onlay technique was applied. After a mean follow-up period of 27 months 12 complications (18.4%) were recorded, six strictures of the proximal anastomosis, three fistulas and three dehiscences of the glans. CONCLUSION: The onlay island flap urethroplasty makes it possible to cure prolonged and multiple strictures of the urethra in one stage and with a relatively low complication rate.
