Revision of Perineal Urethrostomy Using a Meshed Split-Thickness Skin Graft
نویسندگان
چکیده
Perineal urethrostomy is considered to be the last option to restore voiding in complex/recurrent urethral stricture disease. It is also a necessary procedure after penectomy or urethrectomy. Stenosis of the perineal urethrostomy has been reported in up to 30% of cases. There is no consensus on how to treat a stenotic perineal urethrostomy, but, in general, a form of urinary diversion is offered to the patient. We present the case of a young male who underwent perineal urethrostomy after urethrectomy for urethral cancer. The postoperative period was complicated by wound dehiscence with subsequent complete obliteration of the perineal urethrostomy. Revision surgery was performed with reopening of the obliterated urethral stump and coverage of the skin defect between the urethra and the perineal/scrotal skin with a meshed split-thickness skin graft. To date, this patient is voiding well and satisfied with the offered solution.
منابع مشابه
Integra as a dermal replacement in a meshed composite skin graft in a rat model: a one-step operative procedure.
BACKGROUND Current use of Integra, the collagen-based dermal analogue, requires a two-step grafting procedure to achieve wound closure with an "ultrathin" autograft. METHODS A one-step operative procedure of meshed composite skin graft (MCSG) using Integra as a dermal template for a meshed split thickness autograft was developed in rats. The silicon layer of Integra was removed, the resulting...
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Perineal Urethrostomy: The feline perineal urethrostomy (PU) procedure has been performed with few alterations since the original description by Wilson in 1971. A minor modification of the technique was proposed by Agrodnia and others, in which two continuous suture patterns were applied using absorbable suture material (polydioxanone). This modification allows for decreased operative time, min...
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OBJECTIVES Strictures due to lichen sclerosus (LS) may affect the urethra as far proximally as the mid-bulb. For such strictures, a staged full-length repair is required and should use a nonpenile graft source such as buccal mucosa. Many cases occur in a population already accustomed to seated voiding, leading us to re-evaluate this approach and, in some circumstances, recommend definitive peri...
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