Penile urethroplasty using Orandi's dorsal skin flap: a new technique. (28th August 2019)

• Record Type: Journal Article
• Authors: Barbagli, Guido; Joshi, Pankaj M.; Kulkarni, Sanjay B.; Butnaru, Denis; Sansalone, Savatore; Lazzeri, Massimo
• Is Part Of: BJU international. Volume 124:Number 5(2019)
• Page Start: 892
• Page End: 896
• Publication Date: 2019-08-28
• Subjects: penile urethral stricture -- one‐stage urethroplasty -- skin flap -- Orandi's technique; Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.14881
• Languages: English
• ISSNs: 1464-4096

Abstract

Abstract : 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.