Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures

• Published in: Investigative and clinical urology Vol. 57; no. 2; pp. 135 - 140
• Main Authors: Warner, Jonathan N, Tracey, James M, Zhumkhawala, Ali A, Chan, Kevin G, Lau, Clayton S
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Urological Association 01.03.2016; Korean Urological Association; 대한비뇨의학회
• Subjects: Aged; Feasibility Studies; Humans; Innovative Surgical Techniques; Male; Middle Aged; Mouth Mucosa - transplantation; Mouth mucosa; Surgery; Urethral stricture; Patient Positioning; Penis - surgery; Postoperative Care; Preoperative Care - methods; Scrotum - surgery; Treatment Outcome; Urethral Stricture - surgery; 비뇨기과학; Urethral stricture; Surgery; Mouth mucosa
• ISSN: 2466-0493; 2466-054X
• DOI: 10.4111/icu.2016.57.2.135

This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach. Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty through a penoscrotal inversion technique. The clinical outcome was considered a failure when any instrumentation was needed postoperatively, including dilatation. Five patients underwent the novel procedure. The patients' mean age was 58 years. The cause of stricture was instrumentation in 2 cases (40%), lichen sclerosis in 1 case (20%), and failed hypospadias repair in 2 cases (40%). The mean stricture length was 3 cm. The overall mean (range) follow-up was 6 months (range, 3-9 months). Of the 5 patients, 4 (80%) had a successful outcome and 1 (20%) had a failed outcome. The failure was successfully treated by use of a meatotomy. The penile inversion technique through a penoscrotal incision is a viable option for the management of penile urethral strictures with several advantages to other techniques: namely, no penile skin incision, a single-stage operation, and supine positioning.