The use of pedicled prepucial skin flap urethroplasty for proximal bulbomembraneous urethral stricture in children: an easy alternative to transpubic urethroplasty

Abstract

Objective: Pediatric urethral strictures are not uncommon, and a myriad of treatment options is available. The use of pedicled prepucial skin to augment a narrowed urethra is one of the useful methods. In this study, we describe the successful use of this technique in three children with stricture of the proximal bulbomembranous urethra.

Materials and methods: In this study, we reviewed three children aged 4, 7, and 10 years, respectively, with proximal bulbomembranous urethral stricture, who were treated at Christian Medical College, Vellore, India, between 2012 and 2014, using a pedicled prepucial skin flap.

Results: The mean follow-up time was 28 months (range: 20–41 months). There were no intraoperative or postoperative complications. All three children were symptom-free with a good urinary stream at last follow-up.

Conclusion: The pedicled prepucial flap technique for proximal bulbomembranous urethral stricture in children is simple and easy to perform with good overall outcome.

Keywords: children, prepucial flap, urethral stricture, urethroplasty