Reconstruction of resistant strictures of the fossa navicularis and meatus

Noel A. Armenakas, Allen F. Morey, Jack W. McAninch

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Purpose: We evaluate the long-term efficacy of an integrated 1-stage approach for the reconstruction of resistant strictures of the fossa navicularis and meatus. Materials and Methods: In 19 men with resistant glanular urethral strictures of varied origin reconstruction was tailored to the individual characteristics of the urethral stricture and glans. Urethral reconstruction was performed with a ventral transverse island fasciocutaneous penile flap in 16 cases, resection and primary end-to-end anastomosis in 2, and a buccal mucosal graft in 1. The glanuloplasty was completed as a glans cap in 15 patients and as glans wings in 4. In the latter group the glans was significantly scarred from the causative process and previous failed procedures. Results: The patients were followed for a mean of 42.7 months. Transient urinary splaying and mild glans torsion were observed postoperatively but resolved within 8 weeks. Overall, a durable, functional and cosmetic result was achieved in 18 patients (94.7%), and only 1 had an anastomotic stricture that required reoperation. Conclusions: Although the management of resistant glanular urethral strictures can be difficult, the appropriate reconstructive techniques can permanently correct these strictures. We describe a logical 1-stage approach to reconstructing the fossa navicularis and meatus, allowing a functionally successful and cosmetically appealing long-term outcome.

Original languageEnglish (US)
Pages (from-to)359-363
Number of pages5
JournalJournal of Urology
Volume160
Issue number2
DOIs
StatePublished - Aug 1998

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Urethral Stricture
Pathologic Constriction
Cheek
Reoperation
Islands
Cosmetics
Transplants

Keywords

  • Penis
  • Surgical flaps
  • Urethral strictures

ASJC Scopus subject areas

  • Urology

Cite this

Reconstruction of resistant strictures of the fossa navicularis and meatus. / Armenakas, Noel A.; Morey, Allen F.; McAninch, Jack W.

In: Journal of Urology, Vol. 160, No. 2, 08.1998, p. 359-363.

Research output: Contribution to journalArticle

Armenakas, Noel A. ; Morey, Allen F. ; McAninch, Jack W. / Reconstruction of resistant strictures of the fossa navicularis and meatus. In: Journal of Urology. 1998 ; Vol. 160, No. 2. pp. 359-363.
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