Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/3810
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dc.contributor.authorAppiah, K. A. A.-
dc.contributor.authorAmoah, G.-
dc.contributor.authorMaison, P. O. M.-
dc.contributor.authorGyasi-Sarpong, C. K.-
dc.contributor.authorAdofo, C. K.-
dc.contributor.authorYenli, E. M. T.-
dc.contributor.authorKoranteng, A.-
dc.contributor.authorAzorliade, R.-
dc.contributor.authorOtu-Boateng, K.-
dc.contributor.authorBadu-Peprah, A.-
dc.contributor.authorAmetih, R. K.-
dc.contributor.authorMintah, D. A.-
dc.contributor.authorOtu, A.-
dc.contributor.authorBarnes, D. K.-
dc.contributor.authorAcheampong, D. O.-
dc.date.accessioned2023-02-06T11:12:42Z-
dc.date.available2023-02-06T11:12:42Z-
dc.date.issued2022-
dc.identifier.issn2710-2750-
dc.identifier.urihttp://hdl.handle.net/123456789/3810-
dc.description.abstractPurpose: To evaluate the stricture characteristics of patients undergoing single-stage penile fasciocutaneous island flap ventral onlay urethroplasty and the surgery outcomes. Methods: A prospective, cross-sectional study of all patients undergoing penile fasciocutaneous island flap ventral onlay urethroplasty for complex anterior urethral strictures at the Komfo Anokye Teaching Hospital between December 2011 and December 2018. A database of stricture characteristics, postoperative complications and outcome of repair was kept prospectively for all patients. Patients were reviewed at three, six, and twelve months postoperatively and yearly thereafter. A successful outcome was a peak flow rate > 15 ml/s, a patent urethra on retrograde urethrogram (RUG), restoration of a normal stream of urine with at most one attempt at urethral calibration or internal urethrotomy postoperatively. Data was entered into SPSS 17.0 for analysis. Results: Forty-seven patients were operated on over the study period. The median age was 48.0 years (range: 2.5–82 years) and mean stricture length was 6.3 ± 3.8 cm. The majority (25; 53.2%) of patients had strictures involving both the penile and bulbar urethra. Catheterisation was the aetiology in 36 (76.6%) of the strictures, whilst urethritis was the cause in nine (19.1%). The average duration of surgery was 149.2 minutes and the overall success rate at first surgery was 85.1%. There were eight (17.0%) cases of wound haematoma, six (12.8%) of surgical site infections and two (4.3%) of urethrocutaneous fistula. Three patients (6.4%) had urethral diverticulum and seven (14.9%) had stricture recurrence. Conclusion: Single-stage penile fasciocutaneous ventral onlay flap urethroplasty for complex anterior urethral strictures is appropriate in selected cases with a high success rate.en_US
dc.language.isoenen_US
dc.publisherAfrican Urologyen_US
dc.relation.ispartofseriesVol. 2;Issue 2-
dc.subjectanterior urethral stricturesen_US
dc.subjectpenile fasciocutaneous flapsen_US
dc.subjectventral onlay urethroplastyen_US
dc.subjectsingle-stage urethroplastyen_US
dc.subjectcomplex urethral stricturesen_US
dc.titleTHE USE OF PENILE FASCIOCUTANEOUS ISLAND FLAPS IN THE REPAIR OF COMPLEX ANTERIOR URETHRAL STRICTURES IN KUMASI, GHANAen_US
dc.typeArticleen_US
Appears in Collections:School of Medicine and Health Sciences



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