A CASE SERIES OF MALONE MEATOPLASTY AT TERTIARY CARE HOSPITAL
Main Article Content
Keywords
.
Abstract
Introduction and Objectives
The treatment of meatal stenosis associated with lichen sclerosis is traditionally treated either by meatal dilatation or ventral meatotomy. These operations have high recurrence rates or create a hypospadiac meatus. We present an established technique in the use of a dorsal approach.
Methods
A total of 10 patients underwent this operation in a 6 months period.
Mean patient age was 47 years (range 20 to 74) and follow up was 1 year. The operation involves dorsal and ventral meatotomies with an inverted V-shaped relieving incision to correct puckering caused by dorsal meatotomy. Patients were mailed a questionnaire asking if they were pleased with the cosmetic results, and how often and how much they sprayed when passing urine.
Results
The final result is a slit-like but good caliber meatus at the tip of the glans.
Conclusions
During a follow-up of 1 year there were recurrences in 1/10 patients. 90% patients were either happy or very happy with the cosmetic result. This technique can achieve excellent aesthetic results, with low incidence of a spraying stream.
References
2. Persad, R., Sharma, S., McTavish, J., Imber, C. and Mouriquand, P. D.: Clinical presentation and pathophysiology of meatal stenosis following circumcision. Br J Urol, 75: 91, 1995
3. Venn, S. N. and Mundy, A. R.: Urethroplasty for balanitis xe- rotica obliterans. Br J Urol, 81: 735, 1998
4. Blandy, J. P. and Tresidder, G. C.: Meatoplasty. Br J Urol, 39:633, 1967
5. Upadhyay, V., Hammodat, H. M. and Pease, P. W.: Post circum- cision meatal stenosis: 12 years’ experience. N Z Med J, 111: 57, 1998
6. el-Kasaby, A. W., el-Baz, M. A. and el-Zayat, T.: Eversion mea- toplasty in management of urethral meatal stenosis. Int Urol Nephrol, 28: 229, 1996
7. Kim, K. S. and King, L. R.: Method for correcting meatal stenosis after hypospadias repair. Urology, 39: 545, 1992
8. Devine, C. J., Jr. and Horton, C. E.: Hypospadias repair. J Urol,118: 188, 1977
9. De Sy, W. A.: Aesthetic repair of meatal stricture. J Urol, 132:678, 1984
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr. Ajitsingh Pratapsingh Chadha
M.S. (Gen Surg), MCh (Plastic Surgery) Professor, Department of Plastic & Reconstructive Surgery
Institute: Krishna Institute of Medical Sciences, Karad. District-Satara
Dr.Nehadeepkaur Ajitsingh Chadha
M.S. (Gen Surg)MBBS, M.S. General Surgery