850 NOVEL MEATOPLASTY FOR MEATAL STENOSIS FROM LICHEN SCLEROSUS – LONG TERM RESULTS

Abstract

You have accessJournal of UrologyPenis/Testis/Urethra: Benign & Malignant Disease III1 Apr 2010850 NOVEL MEATOPLASTY FOR MEATAL STENOSIS FROM LICHEN SCLEROSUS – LONG TERM RESULTS Jaimin Bhatt and Peter Malone Jaimin BhattJaimin Bhatt More articles by this author and Peter MalonePeter Malone More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2352AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Meatal stenosis can complicate up to a third of patients with Lichen Sclerosus (LS), despite circumcision (1). A novel technique to relieve stenosis of a pinhole external meatus in men and boys with LS was first described 5 years ago by the senior author (2) and has since been tried in other centres with similarly good results (3). This study assesses functional and cosmetic outcomes with a 10 year follow-up. METHODS The operation involves dorsal and ventral meatotomies, with an inverted V-shaped dorsal incision to relieve puckering in patients where there is no LS involvement of the navicular fossa. The technique creates a well-placed neo-meatus which is not hypospadiac due to the dorsal incision. Patients were followed up by a telephone-administered questionnaire that asked about functional and cosmetic results. RESULTS A total of 41 males aged between 8-87 years (mean age 43 years) underwent the procedure between 3 months and 10 years ago. Responses were obtained from 30 out of 41 patients (73%). Ninety-three per cent (28 of 30) did not spray at all whilst micturating, or only occasionally. In those that sprayed urine, none found it severe or constant, and were not bothered by it. All except one patient with progressive lichen sclerosus were either very pleased or pleased with the cosmetic outcome. CONCLUSIONS Long-term data suggest that this novel operation is satisfactory in relieving meatal stenosis due to lichen sclerosus, providing it does not involve the navicular fossa. Both functional and cosmetic outcomes are excellent in the short and long term and it should now be considered as first-line treatment. References (1) : Balanitis xerotica obliterans in boys. J UrolOct 2005; 174: 1409. Link, Google Scholar (2) : A new technique for meatal stenosis in patients with lichen sclerosus. J UrolSept 2004; 173: 949. Google Scholar (3) : Dorsal meatoplasty for the treatment of meatal stenosis in patients with balanitis xerotica obliterans. Arch Esp UrolDec 2007; 60: 1.156. Google Scholar Reading, United Kingdom© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e332 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jaimin Bhatt More articles by this author Peter Malone More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...