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10.4111/icu.2016.57.2.135

http://scihub22266oqcxt.onion/10.4111/icu.2016.57.2.135
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suck abstract from ncbi


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pmid26981596      Investig+Clin+Urol 2016 ; 57 (2): 135-40
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  • Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures #MMPMID26981596
  • Warner JN; Tracey JM; Zhumkhawala AA; Chan KG; Lau CS
  • Investig Clin Urol 2016[Mar]; 57 (2): 135-40 PMID26981596show ga
  • Purpose: 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. Materials and Methods: 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. Results: 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. Conclusions: 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.
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