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Penile urethroplasty using Orandi's dorsal skin flap: a new technique
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01.11.2019 |
Barbagli G.
Joshi P.
Kulkarni S.
Butnaru D.
Sansalone S.
Lazzeri M.
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BJU International |
10.1111/bju.14881 |
0 |
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© 2019 The Authors BJU International © 2019 BJU International Published by John Wiley & Sons Ltd 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.
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