الفهرس | Only 14 pages are availabe for public view |
Abstract Following phalloplasty, urological problems, such as urethral fistula and urethral stricture, are frequent. Even in the best hands, an ”all-cause” urological complication rate of 36% is observed, which is not very different from the 35-41% rate reported in the past (Ascha et al., 2017). As the literature lacks treatment plans for urethroplasty after phalloplasty, this study aims to assess the efficacy of different urethroplasty techniques for repair of urethral strictures and fistulae post total phallic reconstruction and to also, assess the efficacy of abdominal flap urethroplasty in patients with complete urethral disruption or panurethral stricture post total phallic reconstruction. This Study is a Prospective case series that included 21 patients who underwent 69 urethroplasties following radial free forearm flap phalloplasty. Two patients were unable to void while standing as they undergone only the early stages of urethroplasty and currently awaiting further interventions. Fourteen patients were able to void while standing with acceptable urinary flow (14/19= 73.68%). Five patients are still unable to void while standing despite undergoing several urethroplasties (5/19= 26.31%). Thirty-eight out of 69 procedures are considered successful (55.07 %). Among 36 single staged procedures, 20 procedures were successful (55.55 %). Regarding multi-staged procedures, 8 out 14 staged procedure were successful (57.14 %). |