Clinical experiences of urethroplasty and penoplasty with vascularized scrotal pedicle flap on complicated cases.
- Author:
Young Soo KIM
1
;
Yool Ro YOON
;
Chong Koo SUL
Author Information
1. Department of Urology, College of Medicine, Chungnam National University, Taejon, Korea.
- Publication Type:Original Article
- Keywords:
Pedicle flaps;
Penoplasty;
Urethroplasty
- MeSH:
Accidents, Traffic;
Constriction, Pathologic;
Elasticity;
Female;
Fistula;
Humans;
Hypospadias;
Male;
Necrosis;
Penis;
Skin;
Urethral Obstruction;
Urethral Stricture
- From:Korean Journal of Urology
1993;34(5):894-903
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There is no single method of choice for urethroplasty in the hypospadias and the posterior urethral obstruction and for penoplasty in the paraffinoma. Surgeons must choose a suitable method according to the condition of each individual patient. Herein we experienced severe formed posterior urethral stricture after traffic accident, complicated or severe formed hypospadias and completely denuded penis due to paraffinoma on IV cases from March. 1990 to September. 1992 in our hospital. We used vascularized scrotal pedicle flaps for urethroplasty and penoplasty. So, we herein report that the vascularized scortal pedicle flap is better than the other flaps in vascularity and elasticity. In posterior urethral obstruction and pararfinoma, there is no considerable complication after the surgery using the flap, but in 14 cases or hypospadias, 2 cases of urethro-cutaneous fistulas, 3 cases of meatal stenosis and 1 case of skin necrosis were noted.
