Plastic and Reconstructive Surgery
doi: 10.25005/2074-0581-2020-22-2-253-261
URETHROPLASTY OF EXTENDED URETHRA STRICTURES BY VASCULARIZED FLAPS

G.M. Khodzhamuradov1, K.P. Artykov2, M.M. Ismoilov1, S.S. Ziyozoda2, M.F. Odinaev1, M.S. Saidov1

1Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: Optimization of urethroplasty results in extended urethral stricture by using vascularized flaps.

Methods: The experience of treatment of 12 patients with extended urethral stricture were presented. The clinical material includes the patients with extended strictures of 7 to 18 cm with the average size of 13±3.67 cm of urethra and skin defects. Operations were performed 4-6 months after the epicystostomy application. The results were evaluated by the anamnestic, clinical, dopplerography and retrograde urethrography data.

Results: In 9 cases extended urethral strictures were replaced by free revascularized single (6 cases) or double (3 cases) radial flaps. In 3 other cases urethral strictures were replaced by local skin tissues and volar defect of the penis was covered by axial groin flap. In all cases autotransplants were survived with restoration of natural urination, ejaculation and optimal aesthetic outcome were obtained. In one case the infiltration of wound and in another case urethral fistula were developed as the complication.

Conclusion: In extended urethral stricture, the size which exceeds 7 cm of using the additional vascularized transplants of soft tissues (free, axial) is the method of the choice for adequate covering urethra tissues and accompanying skin defects of the penis.

Keywords: Extended urethral stricture, free vascularized radial flap, axial groin flap, urethroplasty, plasty of penis skin defects.

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Authors' information:

Khodzhamuradov Gafur Мukhammadmukhsinovich
Doctor of Medical Sciences, Senior Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: F-4112-2018
ORCID ID: 0000-0002-7095
SPIN: 1726-7169
E-mail: gafur@tojikiston.com

Artykov Karimdzhon Pulatovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna State Medical University
Scopus ID: 6506551678
ORCID ID: 0000-0002-6346-0851
Author ID: 909829
SPIN: 2480-6526
E-mail: artikov53@mail.ru

Ismoilov Mukhtordzhon Marufovich
Candidate of Medical Sciences, Head of the Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0002-6344-1810
SPIN: 4699-1871
E-mail: m.ismoilov@mail.ru

Ziyozoda Sorboni Sayburkhondzhon
Postgraduate Student, Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-5228-0994
SPIN: 7764-2892
E-mail: ziyozodasorbon@gmail.com

Odinaev Mirali Fayzulloevich
Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: C-5172-2019
ORCID ID: 0000-0002-5361-1724
SPIN: 5388-9704
E-mail: mirali67@mail.ru

Saidov Makhmadullo Sayfulloevich
Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: E-8505-2018
ORCID ID: 0000-0001-9003-1609
SPIN: 6838-1053
E-mail: mahmad_jon1974@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Saidov Makhmadullo Sayfulloevich
Researcher, Department of Reconstructive Surgery, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (918) 626332

E-mail: mahmad_jon1974@mail.ru

Materials on the topic:
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  2. CLINICAL IMPORTANCE OF DIVIDING DISTAL COMPLETE NERVE DAMAGES OF THE UPPER EXTREMITY INTO TOPOGRAPHIC ZONES
  3. EXPERIENCE OF THE USE OF VARIOUS METHODS OF SURGICAL TREATMENT OF THE CHEILOSCHISIS AND PALATE
  4. OPTIMIZATION OF SURGICAL TREATMENT OF POST-BURNING TIGHTENING SCARS OF FRONT SURFACE OF THE NECK AND THE CHEST
  5. MODERN APPROACH TO THE DIAGNOSTIC AND SURGICAL TREATMENT OF THE NASAL SEPTUM CURVATURE
  6. SURGICAL TACTICS IN DISTAL LESIONS OF NERVE TRUNKS OF THE UPPER LIMBS
  7. SURGICAL TREATMENT OF POST-BURN SCARS OF NECK AND CHEST

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