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

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

Department of Urology, JIPMER, Puducherry, India

Correspondence Address:
Dr. Ketan Mehra
Department of Urology, JIPMER, Puducherry
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/nmj.NMJ_30_19

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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.

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