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Island Patch Urethroplasty: Effects on Urinary Flow and Ejaculation
Author(s) -
VIJAYAN P.,
SUNDIN T.
Publication year - 1983
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1983.tb07082.x
Subject(s) - urination , medicine , ejaculation , urethra , urethroplasty , urinary flow , urethral stricture , anatomy , surgery , urology , urinary system , prostate , cancer
Summary— Seventeen patients had a single‐stage operation for urethral stricture. To avoid recurrence (which occurred in 2 patients) the urethra should be opened not only through the stricture but well beyond the pathological cavernous tissue. In 3 patients it was not possible to reconstruct the bulbocavernosus muscle over the bulb. This resulted in urethral pouching which did not interfere with micturition, except for after‐dribbling, but prevented forceful ejaculation and the semen leaked slowly for several minutes. Excision of the apex of the scrotal skin flap to the island patch seems to prevent marginal skin necrosis.