Olajide Abimbola O, Salako Abdulkadir A, Aremu Ademola A, Eziyi Amogu K, Olajide Folakemi O, Banjo Oluseyi O
Department of Surgery, Ladoke Akintola University of Technology, Osogbo, Osun State, Nigeria.
Urol J. 2010 Summer;7(3):178-82.
To report the complications of transverse distal penile island flap urethroplasty for urethral reconstruction in adult patients with long/multiple segments anterior urethral stricture.
This prospective study was carried out on 55 patients with complex anterior urethral stricture to study complications of transverse distal penile island flap urethroplasty in two teaching hospitals between June 2002 and December 2008. Pre-, intra- and postoperative information were collected on a pro forma to generate data, which was analyzed.
The patient's mean age was 43.83 years (range, 19 to 73 years). The leading etiology of the stricture was urethral inflammation (76.4%) with the commonest complication being infection: wound infection in 9.1%, urosepsis in 3.6%, and epididymo-orchitis in 1.8% of the subjects.
Transverse distal penile island flap urethroplasty has a remarkable outcome in treatment of a long/multiple segment urethral stricture with few manageable complications.
报告横向远端阴茎岛状皮瓣尿道成形术治疗成年长段/多段前尿道狭窄患者尿道重建的并发症。
这项前瞻性研究于2002年6月至2008年12月在两家教学医院对55例复杂性前尿道狭窄患者进行，以研究横向远端阴茎岛状皮瓣尿道成形术的并发症。术前、术中和术后信息通过表格形式收集以生成数据，并进行分析。
患者的平均年龄为43.83岁（范围为19至73岁）。狭窄的主要病因是尿道炎症（76.4%），最常见的并发症是感染：9.1%的患者发生伤口感染，3.6%的患者发生尿脓毒症，1.8%的患者发生附睾炎或睾丸炎。
横向远端阴茎岛状皮瓣尿道成形术在治疗长段/多段尿道狭窄方面有显著效果，并发症较少且易于处理。
