摘要
<strong>Introduction:</strong> Penile skin flap urethroplasty is a technique for replacing or enlarging an obstructed urethra. We aim to report our experience in the practice of this surgical technique. <strong>Patients and method:</strong> This was a prospective and descriptive study of penile skin flap urethroplasty indicated for urethral stenosis between January 2014 and December 2019. <strong>Results:</strong> A total of 21 penile skin flap urethroplasties for urethral stenosis were performed. The average age was 38.6 years old. The stenosis was of sclero-inflammatory origin in 15 cases (71.43%). It was of bulbo-perineal, penile, and penile-bulbar topography in about a third each. A history of urethral surgery was reported in 80.95% of the cases. The average length of the stenosis was 6.8 cm. Mundy circular skin flap urethroplasty about 15 cases (71.43%), and Quartey rectangular skin penile flap urethroplasty about 6 cases (28.57%) were the surgical techniques performed. The postoperative follow-up was favorable in 19 cases (90.48%). Two cases of urethral fistula (9.52%) underwent the 2<sup>nd</sup> urethroplasty. Urination at 1 year was satisfactory. No relapse has been reported to date. However, 4 patients (19.04%) reported asthenic ejaculation, and 1 patient (4.76%) a marked decrease in sexual pleasure. <strong>Conclusion:</strong> This surgical technique is effective in terms of voiding when the surgical indications are well chosen. The sexual aspect must be taken into account and the intervention only offered to those who really need it.
<strong>Introduction:</strong> Penile skin flap urethroplasty is a technique for replacing or enlarging an obstructed urethra. We aim to report our experience in the practice of this surgical technique. <strong>Patients and method:</strong> This was a prospective and descriptive study of penile skin flap urethroplasty indicated for urethral stenosis between January 2014 and December 2019. <strong>Results:</strong> A total of 21 penile skin flap urethroplasties for urethral stenosis were performed. The average age was 38.6 years old. The stenosis was of sclero-inflammatory origin in 15 cases (71.43%). It was of bulbo-perineal, penile, and penile-bulbar topography in about a third each. A history of urethral surgery was reported in 80.95% of the cases. The average length of the stenosis was 6.8 cm. Mundy circular skin flap urethroplasty about 15 cases (71.43%), and Quartey rectangular skin penile flap urethroplasty about 6 cases (28.57%) were the surgical techniques performed. The postoperative follow-up was favorable in 19 cases (90.48%). Two cases of urethral fistula (9.52%) underwent the 2<sup>nd</sup> urethroplasty. Urination at 1 year was satisfactory. No relapse has been reported to date. However, 4 patients (19.04%) reported asthenic ejaculation, and 1 patient (4.76%) a marked decrease in sexual pleasure. <strong>Conclusion:</strong> This surgical technique is effective in terms of voiding when the surgical indications are well chosen. The sexual aspect must be taken into account and the intervention only offered to those who really need it.
作者
Dramane Cissé
Honoré Jean Gabriel Berthé
Abdoulaye Traoré
Mamadou Lamine Diakité
Modibo Coulibaly
Mory Koné
Djibril Traoré
Bréhima Traoré
Diamilatou Thiam
Mamadou Tidiani Coulibaly
Alkadri Diarra
Amadou Kassogué
Moussa Salifou Diallo
Oumar Guindo
Dramane Cissé;Honoré Jean Gabriel Berthé;Abdoulaye Traoré;Mamadou Lamine Diakité;Modibo Coulibaly;Mory Koné;Djibril Traoré;Bréhima Traoré;Diamilatou Thiam;Mamadou Tidiani Coulibaly;Alkadri Diarra;Amadou Kassogué;Moussa Salifou Diallo;Oumar Guindo(Université des Sciences des Techniques et des Technologies de Bamako, Bamako, Mali;Hôpital Sominé DOLO de Mopti, Mopti, Mali;CHU du Point G Bamako, Bamako, Mali;Direction Régionale de la Santé de Mopti, Mopti, Mali;CHU Gabriel TOURE Bamako, Bamako, Mali;CHU Luxembourg, Bamako, Mali;CHU Kati, Kati, Mali)