Long-Term Follow-up of Malone Meatoplasty for Meatal Stenosis in Patients with Lichen Sclerosus
Journal Title: Journal of Anesthesia and Surgery - Year 2017, Vol 4, Issue 2
Abstract
Objective: To show our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans by the use of a dorsal meatoplasty technique. Materials and methods: We have performed dorsal meatoplasty to 57 patients suffering from meatal stenosis caused by lichen sclerosus. In all cases the individuals were operated on under local anesthesia and following Malone’s original technique: plasty through “inverted V” incision. Results: In almost all the operated patients, we observed a significant improvement in urine flow and an excellent aesthetic result with very low incidence of disperse micturition. We have noted a high satisfaction rate by carrying out a survey. We didn’t register any post-operative complication. In 2 patients (3.5%) the stenosis reappeared and persisted during an average time of 39.5 months (range 6 - 130). Conclusions: Dorsal meatoplasty with “inverted V” incision is an easily executable technique that can be performed under local anesthesia, avoids post-operative hypospadias and gives excellent aesthetic and functional results with low recurrence rate, which is why we hold the opinion that this procedure should be included in the daily practice of the urologist.
Authors and Affiliations
Pedro Navalon Verdejo
Keywords
Related Articles
- EP ID EP421197
- DOI 10.15436/2377-1364.17.096
- Views 91
- Downloads 0
Discovering What Patients Really Expect from Their Anesthesiologist
As twenty-first century medicine shifts from a production-based model to a patient-centered model and as the emphasis on quality and patient satisfaction increases anesthesiologists will need to pay special attention t...
Tension Pneumothorax during Liver and Kidney Transplantation in a Patient with Adult Polycystic Kidney Disease
Administering anesthesia to patients undergoing liver transplantation often yields intraoperative hemodynamic instability During this type of major surgery many factors may contribute to hemodynamic collapse including...
Development of a Fast-Track Protocol for Hydrocele Surgery
Objectives: To describe a multimodal recovery protocol (fast-track surgery) for hydrocele surgery, as developed by our urology department over the course of the last 10 years. Likewise, our aim was to demonstrate the use...
Iatrogenic Life Threatening Tracheal Tear in Pediatric Patient; A Challenging Case to Manage
We present a case in which an 11 month old baby with Johanson ndash Blizzard Syndrome developed respiratory failure due to respiratory syncytial virus The baby was intubated and re-intubated several times using differen...
Analgesia for Moderate Chronic Non-Cancer Pain : Low Dose Transdermal Buprenorphine A Novel Option in Mexico
Chronic non-cancer pain is prevalent in Mexico and its pharmacologic treatment requires clinicians to balance the risks and benefits of various analgesic agents NSAIDs and paracetamol acetaminophen can be effective fo...