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Inicio Actas Urológicas Españolas (English Edition) Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans: Long-...
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Vol. 35. Issue 8.
Pages 494-498 (September 2011)
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Vol. 35. Issue 8.
Pages 494-498 (September 2011)
Casuistry
DOI: 10.1016/j.acuroe.2011.03.005
Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans: Long-term results using the meatoplasty of Malone
Tratamiento de la estrechez del meato uretral por balanitis xerótica obliterante: resultados a largo plazo empleando meatoplastia de Malone
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A. Treiyera,??
Corresponding author
aetreiyer@yahoo.com.ar

Corresponding author.
, P. Anheuserb, B. Reischb, J. Steffensb
a Urology Department, Universidad del Saarland, Homburg/Saar, Alemania, Germany
b Urology Department, Hospital St. Antonio, Eschweiler, Alemania, Germany
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Abstract
Objective

To present our experience in the treatment of severe stenosis of the external urinary meatus in male children and adults with balanitis xerotic obliterans.

Materials and methods

A total of 21 patients were operated on in a 5-year period, using the meatoplasty technique of Malone. Mean patient age was 41.7 years (range 7–75). Mean postoperative follow-up was 40.8 months (range 6–54). The surgical procedure consisted in making a small ventral incision of the urethral meatus with an extensive dorsal meatotomy, correcting the esthetic defect of the gland with an inverted V-shaped relieving incision. The postoperative evaluation was performed in every patient by written questionnaire informing about the functional and cosmetic results of the surgical technique.

Results

No post-surgical complications or recurrences of the urethral stenosis were recorded. A total of 18 patients (85.7%) replied to the post-surgical questionnaire. All were very satisfied with the functional result. Fifteen (83.3%) were also very satisfied with the cosmetic results of the technique.

Conclusion

The meatoplasty of Malone is a good alternative for the treatment of urethral meatal stenosis. It is an easy and rapid-to-perform technique. It avoids creating a hypospadiac meatus and achieves good postoperative results.

Keywords:
Lichen sclerosus
Meatal stenosis
Reconstructive surgery
Urethra
Penis
Resumen
Objetivo

Presentar nuestra experiencia en el tratamiento de estenosis severa localizada en el meato uretral en niños y adultos con balanitis xerótica obliterante.

Material y métodos

Un total de 21 pacientes con una edad promedio de 41,7 (7-75) años fueron operados en un período de 5 años utilizando la técnica de meatoplastia según Malone. El seguimiento postoperatorio medio fue 40,8 (6-54) meses. El procedimiento quirúrgico consistió en una pequeña incisión ventral del meato uretral seguida por una meatotomía dorsal profunda, corrigiendo el defecto estético a nivel del glande a través de una sutura en “V” invertida. La evaluación postoperatoria fue realizada en todos los pacientes a través de encuesta escrita que informaba de los resultados funcionales y estéticos de la técnica quirúrgica.

Resultados

No se registraron complicaciones postoperatorias, ni tampoco recidiva de la estenosis uretral. Dieciocho pacientes (85,7%) respondieron el cuestionario de evaluación postoperatoria, todos muy satisfechos con el resultado funcional conseguido. Quince de ellos (83,3%) refirieron estar también muy satisfechos con el resultado estético de dicha técnica.

Conclusión

La meatoplastia según Malone es una buena alternativa para el tratamiento de la estenosis de meato uretral. Es una técnica fácil, que puede realizarse rápidamente. Evita llevar a cabo un meato hipospádico y consigue buenos resultados postoperatorios.

Palabras clave:
Balanitis xerótica obliterante
Estenosis de meato uretral
Cirugía reconstructiva
Uretra
Pene

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