Jdm. Devries et al., URETHROPLASTY FOR SEVERE URETHRAL STRICTURES, USING THE PREPUTIAL ISLAND FLAP TECHNIQUE - REVISITED, European urology, 24(1), 1993, pp. 77-80
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.