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Q‐flap reconstruction of panurethral strictures
Author(s) -
Morey A.F.,
Tran L.K.,
Zinman L.M.
Publication year - 2000
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1046/j.1464-410x.2000.00974.x
Subject(s) - medicine , surgery , stenosis , single stage , fistula , skin flap , radiology , engineering , aerospace engineering
Objective To review our experience with an extended Q‐shaped penile skin flap for the reconstruction of panurethral strictures. Patients and methods Between 1991 and 1999, 15 men with extensive strictures underwent a single‐stage urethral reconstruction with a distal circumferential penile skin flap incorporating a ventral midline extension (Q‐flap). None had undergone previous urethroplasty nor had any been circumcised. Results The Q‐flap provided a pedicled strip of penile skin with a mean (range) length of 17 (15–24) cm; no additional graft materials were necessary. Excellent results were obtained in 10 patients; in the remainder, complications included recurrent stricture (in two) and (in one patient each) a cerebral vascular accident, urethrocutaneous fistula, meatal stenosis, femoral neuropathy and prolonged catheterization for focal extravasation. Conclusion The Q‐flap provides an abundant hairless penile skin flap that enables single‐stage panurethral reconstruction while eliminating the additional time and morbidity of harvesting further grafts.