Abstract

TREIYER, A.; ANHEUSER, P.; REISCH, B.  and  STEFFENS, J.. Treatment of urethral meatus stenosis due to Balanitis xerotic obliterans: Long term results using the meatoplasty of Malone. Actas Urol Esp [online]. 2011, vol.35, n.8, pp.494-498. ISSN 0210-4806.

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.

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