6 research outputs found
Gold nanorod-mediated near-infrared laser ablation: in vivo experiments on mice and theoretical analysis at different settings
P077: Have we considered mosaicism? A nearly missed molecular diagnosis of von Hippel-Lindau
Penile inversion through a penoscrotal incision for the treatment of penile urethral strictures
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