Abstract
Three types of subcutaneous flaps were used in conjunction with urethroplasty in 18 patients. These flaps originated from the inner face of the prepuce in 6 patients, the ventrolateral penile skin in 11, and the dorsal penile skin in 1. The flaps were used to cover the primary urethral repair. Urethroplasty was performed in 7 patients for hypospadias, in 9 for complex urethroclasties fistulae, and in 2 for primary urethral strictures. A variety of surgical techniques were used for the urethroplasties. Two complications were encountered during an average follow-up period of 18 months: loss of a full-thickness skin graft urethroplasty in 1 patient and meatal stenosis in another. The three variants of subcutaneous flaps described in this series add a well-vascularized apron of tissue to a variety of urethroplasties, thus improving the results. Our surgical technique and results are presented in detail.
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