Abstract
The use of extended perineal incision for both the first- and second-stage Turner-Warwick scrotal inlay urethroplasty has made this a successful procedure in the management of 22 difficult membranous and supramembranous strictures. The pliable, soft, elastic scrotal skin has produced a well-vascularized urethra which approximates closely the elastic qualities of the normal muscular urethral wall and has obviated the recurrent chronic scarred contraction that was previously experienced with the use of perineal skin. Continuing observation of the scrotal inlay with properly timed revisions before final closure has established stable stricture free lumens in patients with severely obstructed lower urinary tracts.
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