PEDICLED PERINEAL SKIN FLAP URETHROPLASTY FOR BULBAR URETHRAL STRICTURE

1Senior Resident, Department of Urology, IGIMS, Patna, Bihar, India. 2Senior Resident, Department of Urology, IGIMS, Patna, Bihar, India. 3Assistant Professor, Department of Urology, IGIMS, Patna, Bihar, India. 4Associate Professor, Department of Urology, IGIMS, Patna, Bihar, India. 5Senior Resident, Department of Urology, IGIMS, Patna, Bihar, India. 6Professor, Department of Urology, IGIMS, Patna, Bihar, India. ABSTRACT BACKGROUND In patients with submucous fibrosis, free skin graft, penile foreskin and Wolfe graft are useful alternatives. In patients with history of circumcision and with recurrent episodes of balanoposthitis, we used perineal skin as urethral substitute. This study is unique with regard to flap design and simplicity of the technique. It can be done under regional anaesthesia and is a less morbid procedure. We retrospectively reviewed the records of patients treated for bulbar urethral strictures using pedicled perineal flap through a perineal incision. We evaluated the feasibility, reproducibility and results of this technique.