Versatilidad del colgajo axial fasciocutáneo de piel de pene en la reconstrucción de la uretra péndula

Abstract

PurposeWe describe three cases, with different feaures, of anterior urethral strictures that were treated with the same technique: a circular axial penile fasciocutaneous flap. Material and methodsWe report three cases of patients with urethral strictures that affected the whole glandar and penile urethra. In one case the stricture affected the bulbar urethra. No patient has the preputial skin disposable, because of a previous circumcision, and all has been treated with different techniques. In one patient, a first step urethroplastia was performed previously, open all the penile urethra. All the cases were successfully treated with a circular axial fasciocutaneos penile flap in one stage. In case number one the reconstruction was combined with a scrotal flap. In case number three, the glandar urethra was reconstructed. ConclusionsThe circular axial fasciocutaneos penile flap is a versatile technique that can be use to correct various type of strictures of the whole glandar and penile urethra alone or associated with strictures of the bulbar urethra.