Universität zu Köln

Halbe, Luisa, Ergashev, Bobirjon, Heidenreich, Axel and Karapanos, Leonidas (2022). Bilateral T-shaped Scrotoplasty as an Ancillary Technique of Staged Anterior Urethroplasty: The End Justifies the Means. Cureus J Med Sci, 14 (8). PALO ALTO: CUREUS INC. ISSN 2168-8184

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Abstract

Staged urethroplasty is performed to treat long-segment obliterating anterior urethral strictures. The technique is particularly challenging when the penobulbar junction is involved, as it requires the transection of the scrotum and the formation of lateral testicular fans. To date, there is no established surgical protocol for this ancillary technique in large volume scrotums with excess skin. We report a case of staged urethroplasty with the necessity of performing T-scrotoplasty due to bulky scrotum. After six months, the Tplasty was successfully resolved, and a new scrotum was formed from the two hemiscrota. In conclusion, scrotoplasty using a bilateral T-plasty is an excellent technique to overcome the necessity of splitting the scrotum by externalizing the urethra to allow for excellent buccal mucosal graft healing over a period of six months. The two separate testicular fans can be reapproximated along the raphe after re-tubularizing the urethra in the 2nd stage, shaping a new scrotum with satisfactory cosmetic results.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Halbe, Luisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Ergashev, Bobirjon UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Karapanos, Leonidas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-663674
DOI:	10.7759/cureus.27810
Journal or Publication Title:	Cureus J Med Sci
Volume:	14
Number:	8
Date:	2022
Publisher:	CUREUS INC
Place of Publication:	PALO ALTO
ISSN:	2168-8184
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GRAFT URETHROPLASTY; STRICTURE DISEASE; BUCCAL MUCOSA; MANAGEMENT; FLAP; SKIN Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66367