URETHROPLASTY FOR SEVERE URETHRAL STRICTURES, USING THE PREPUTIAL ISLAND FLAP TECHNIQUE - REVISITED

We reviewed our experience with the pedicled island flap technique in severe urethral strictures, especially in regard of the long-term foll ow-up of functional parameters: micturition patterns and sexual behavi or. Analysis of 59 consecutive cases treated with this approach has pr oven the value of this technique. The results of a questionnaire and t he current clinical status showed that, of the 59 cases, 12 patients w ere subjectively dissatisfied with their micturition, independent of t he results of functional voiding measurements, and 2 patients complain ed of impaired potency: 1 immediately after the original trauma, the o ther after the surgical repair. The most frequent reported micturition complaints were only minor: dribbling, nycturia and frequency, mostly already existing before the operation. The objective results, obtaine d postoperatively by uroflowmetry were good, but often did not correla te with the subjective results. The overall results are satisfactory. Only 3 patients replied to say that they regret having had the open op erative procedure.