Korean J Urol.  1993 Oct;34(5):894-903.

Clinical experiences of urethroplasty and penoplasty with vascularized scrotal pedicle flap on complicated cases

• Kim YS
• Yoon YR
• Sul CK

Abstract

There is no single method of choice for urethroplasty in the hypospadias and the posterior urethral obstruction and for penoplasty in the paraffinoma. Surgeons must choose a suitable method according to the condition of each individual patient. Herein we experienced severe formed posterior urethral stricture after traffic accident, complicated or severe formed hypospadias and completely denuded penis due to paraffinoma on IV cases from March. 1990 to September. 1992 in our hospital. We used vascularized scrotal pedicle flaps for urethroplasty and penoplasty. So, we herein report that the vascularized scortal pedicle flap is better than the other flaps in vascularity and elasticity. In posterior urethral obstruction and pararfinoma, there is no considerable complication after the surgery using the flap, but in 14 cases or hypospadias, 2 cases of urethro-cutaneous fistulas, 3 cases of meatal stenosis and 1 case of skin necrosis were noted.

Keyword

Pedicle flaps; Penoplasty; Urethroplasty

MeSH Terms

Accidents, Traffic
Constriction, Pathologic
Elasticity
Female
Fistula
Humans
Hypospadias
Male
Necrosis
Penis
Skin
Urethral Obstruction
Urethral Stricture