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Penile urethroplasty using Orandi's dorsal skin flap: a new technique
Author(s) -
Barbagli Guido,
Joshi Pankaj M.,
Kulkarni Sanjay B.,
Butnaru Denis,
Sansalone Savatore,
Lazzeri Massimo
Publication year - 2019
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 - 10.1111/bju.14881
Subject(s) - medicine , urethroplasty , urethral diverticulum , urethra , chordee , surgery , dorsum , fascia , penis , diverticulum (mollusc) , hypospadias , fistula , anatomy
Objectives To describe, step by step, a new one‐stage dorsal skin flap urethroplasty for penile stricture repair. Materials and Methods The surgery was accomplished through a midline incision on the ventral penile surface, the urethra was fully dissected from the corpora cavernosa and longitudinally opened along its dorsal surface. A penile skin island, based on the dartos fascia flap, was dissected and moved over the corpora cavernosa, and the urethra was moved and sutured over the penile skin flap. Results Out of the 12 cases, 10 were classified successful and there were two failures. The operating time was 60 min. There was no postoperative fistula or urethral diverticulum. Conclusion Our modified Orandi's technique was easy and feasible, and avoided fistula and diverticulum formation after repair.