阴囊岛状皮瓣尿道成形术治疗球部尿道狭窄

Scrotal island flap urethroplasty in the management of bulbar urethral strictures.

作者信息

Provet J A, Surya B V, Grunberger I, Johanson K E, Brown J

机构信息

Department of Surgery, New York Veterans Administration Medical Center, New York.

出版信息

J Urol. 1989 Dec;142(6):1455-7; discussion 1457-8. doi: 10.1016/s0022-5347(17)39124-3.

DOI:10.1016/s0022-5347(17)39124-3

PMID:2685364

Abstract

We describe our experience with 20 patients undergoing 1-stage scrotal island flap urethroplasty for severe bulbomembranous stricture disease. While 16 patients achieved satisfactory results, 4 required revision for recurrent stricture, diverticulum or fistula. Use of hairless skin and aggressive tailoring of the flap are stressed to avoid the common complications of diverticulum, hair ball and stone formation. This highly vascularized pedicle represents a reasonable alternative to staged repair when local tissue scarring is great and free full thickness skin graft viability is questionable.

摘要

我们描述了20例因严重球膜部狭窄疾病接受一期阴囊岛状皮瓣尿道成形术患者的经验。16例患者取得了满意的效果，4例因复发性狭窄、憩室或瘘管需要再次手术。强调使用无毛皮肤并积极修剪皮瓣以避免憩室、毛球和结石形成等常见并发症。当局部组织瘢痕严重且游离全厚皮片的存活能力存疑时，这种高度血管化的蒂部是分期修复的合理替代方案。