Penile urethroplasty using Orandi's dorsal skin flap: a new technique.

Abstract

To describe, step by step, a new one-stage dorsal skin flap urethroplasty for penile stricture repair. The surgery was accomplished through a midline incision on the ventral penile surface, the urethra was fully dissected from the corpora cavernosa and longitudinally opened along its dorsal surface. A penile skin island, based on the dartos fascia flap, was dissected and moved over the corpora cavernosa, and the urethra was moved and sutured over the penile skin flap. Out of the 12 cases, 10 were classified successful and there were two failures. The operating time was 60 min. There was no postoperative fistula or urethral diverticulum. Our modified Orandi's technique was easy and feasible, and avoided fistula and diverticulum formation after repair.