Perineo-penile Degloving Exposure in Quartey's Urethroplasty: A Preliminary Report .

Objective: to present a technique of stricture exposure in quartey's urethroplasty.methods: a retrospective analysis of case files of seven patients that underwent perineo-penile degloving (ppd) exposure for quartey's urethroplasty was done and formed the basis of this communication.the perineo-penile degloving exposure involves a midline perineal incision to expose the bulbar urethral and a circumcising incision to deglove the penis which is later delivered to the perineum through the retro-scrotal tunnel. the urethroplasty is then done in a single operation field.results: seven patients with long segment urethra stricture were repaired using ppd exposure during the study period. the age ranged from 35 to 70 years with a mean of 48.6±11.1 years. the peno-bulbar site was involved in six (85.7%) of the patients. the mean intra-operative length of the stricture is 7.6±1.5cm. all the patients had quartey's flap for their reconstruction under spinal anaesthesia with mean operation time of 3.16±0.50 hours (range 2.30 – 4.00 hours). they all had ventral on-lay repair except for one patient who had tubularization of the flap and anastomosis. three of the patients had excellent short-term outcome. however, one patient developed slight distal penile skin necrosis, two patients had perineal wound infection and one patient could not void despite patent urethra post- operatively. of the patients, only one had extravasation of contrast on pericatheter urethrogram which warranted leaving the urethral catheter for one more week. the mean follow-up period was 8.3±4.5 months with a range of 3 to 14 months. there has being no evidence of recurrence clinically or urodynamically thus far.conclusion: ppd is convenient and allows tension-free, water-tight reconstruction in a single operation field with a conclusion: ppd is convenient comparable short-term outcome.