Nigerian Medical Journal

CASE REPORT
Year
: 2019  |  Volume : 60  |  Issue : 2  |  Page : 95--97

Keystone flaps in urethroplasty: Reconstruction in a complex case of panurethral stricture disease


Sidhartha Kalra, Lalgudi Narayanan Dorairajan, Ketan Mehra, Ramanitharan Manikandan 
 Department of Urology, JIPMER, Puducherry, India

Correspondence Address:
Dr. Ketan Mehra
Department of Urology, JIPMER, Puducherry
India

Panurethral strictures are a surgical challenge for a reconstructive urologist more so in situations where local tissue for reconstruction is deficient. Two-stage urethroplasty is the preferred option in such cases. In some complex stricture diseases where patients are not willing for multiple procedures, permanent perineal urethrostomy can give a good functional outcome. Keystone flaps have been used as a simple and effective method of wound closure in other areas of the body that would otherwise have required complex flap closure and skin grafting. We describe, for the first time, a case of inflammatory panurethral stricture disease complicated by Fournier gangrene with extensive penile, scrotal, and perineal skin deficit managed with a perineal urethrostomy, with the help of keystone design perforator island flaps with successful outcome.


How to cite this article:
Kalra S, Dorairajan LN, Mehra K, Manikandan R. Keystone flaps in urethroplasty: Reconstruction in a complex case of panurethral stricture disease.Niger Med J 2019;60:95-97


How to cite this URL:
Kalra S, Dorairajan LN, Mehra K, Manikandan R. Keystone flaps in urethroplasty: Reconstruction in a complex case of panurethral stricture disease. Niger Med J [serial online] 2019 [cited 2024 Mar 28 ];60:95-97
Available from: https://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2019;volume=60;issue=2;spage=95;epage=97;aulast=Kalra;type=0