Author/Authors :
Salako، Abdulkadir A نويسنده Department of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State , , Olajide، Abimbola O نويسنده 1Department of Surgery, Ladoke Akintola University of Technology, Osogbo, Osun State , , Aremu، Ademola A نويسنده Department of Radiology, Ladoke Akintola University of Technology, Osogbo, Osun State , , Afolayan، Michael نويسنده Department of Surgery, University of Lagos, Lagos , , Adejare ، Ifeoluwa نويسنده Department of Surgery, Federal Medical Centre, Owo , , Oseni ، Oyediran G نويسنده Department of Surgery, Obafemi Awolowo University, Ile-Ife ,
Abstract :
Purpose: To describe peculiarities of pendulous urethral stricture in South Western Nigeria
and how prevalent social and environmental factors have made longitudinal distal penile
island flap the preferred option for reconstruction of pendulous urethral stricture in such a
poor resource community.
Materials and Methods: All patients presenting with stricture located in the pendulous
urethra in 3 hospitals in south western Nigeria, over a 5 year period were interviewed and
had urethral reconstruction using longitudinal distal penile fascio-cutaneous island flap under
spinal anesthesia.
Results: Thirty four cases were treated by this method during this period. Complications
were found in 4 patients (11.8%) which include urethrocutaneous fistula, penile skin necrosis
and wound infection. All cases had satisfactory overall outcome.
Conclusion: Longitudinal penile fascio-cutaneous flap remains a viable option for a single
stage repair of pendulous urethral stricture especially in poor resource communities.
