الفهرس 
Title : Management of Urethral Complications After Total Phallic Reconstruction Surgery: A Prospective Case Series
ContentsOnly 14 pages are availabe for public view
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Abstract
Following phalloplasty, urological problems, such as urethral fistula and
urethral stricture, are frequent. Even in the best hands, an ”all-cause” urological
complication rate of 36% is observed, which is not very different from the 35-41% rate
reported in the past (Ascha et al., 2017).
As the literature lacks treatment plans for urethroplasty after phalloplasty, this study
aims to assess the efficacy of different urethroplasty techniques for repair of urethral
strictures and fistulae post total phallic reconstruction and to also, assess the efficacy of
abdominal flap urethroplasty in patients with complete urethral disruption or panurethral
stricture post total phallic reconstruction.
This Study is a Prospective case series that included 21 patients who underwent 69
urethroplasties following radial free forearm flap phalloplasty.
Two patients were unable to void while standing as they undergone only the early
stages of urethroplasty and currently awaiting further interventions. Fourteen patients
were able to void while standing with acceptable urinary flow (14/19= 73.68%). Five
patients are still unable to void while standing despite undergoing several
urethroplasties (5/19= 26.31%). Thirty-eight out of 69 procedures are considered
successful (55.07 %). Among 36 single staged procedures, 20 procedures were
successful (55.55 %). Regarding multi-staged procedures, 8 out 14 staged procedure
were successful (57.14 %).