We analysed the results of two-operation procedures for cutaneous uret
hroplasty performed over a 10 year period. From 1983 to 1993, 44 patie
nts had a Leadbetter urethroplasty. The indication in all cases was st
enosis of the bulbal or bulbomenbranous urethra complicated by urethro
-cutaneous fistula. After the first operation, 10 patients (22.7%) had
a stenosis of one or both of the urethrostomy orifices, requiring one
or more further procedures. The second operation concerned 18 patient
s (40.9%) and gave goods results in 10 (55.5%). Poor results were due
to recurrence of the stenosis in 3 cases (16.6%), perineal suppuration
in 1 (5.5%), failure of the skin plasty in 1 (5.5%) and formation of
a stenosis by a tuft of hair in 1 (5.5%). Finally, 2 patients were los
t to follow-up. Mean interval between operations was 8 months. It appe
ars, despite the drawbacks and uncertain results, that sequential oper
ations for cutaneous urethroplasty are indicated when stenosis of the
urethra is complicated by fistulization or perineal infection.