Abstract

Internal urethrotomy is the first choice of the treatment of urethral strictures because it iş casy, cheap and effective. But in cases with long segment and excessive fibrosis, the recurrence rates are higher than the simple cases. İn these cases, succesful results were known with end to end anastomosis, free graft, patch graft and penile skin flap.

Between September 1996 and July 1998 turn-over urethroplasty technigue with hairless penile skin was applied on 7 cases with anterior urethral stricture. In these cases the lengths ofsiricture were changing between 2 and 4 centimeters (average length was 2.7 cm) All of the cases had been undergone internal urethrotomy operation about 3 to 7 times (average was 4). In 2 cases the etiology of stricture was previous recurrent urethritis, urethral trauma in 4 cases. İn one case we couldn't find the etiology. Patients were followed about urethral stricture, fistula, diverticula orhair forming. There were no complications in 5 cases. In one case a fistula formation Were OCCUTed at the site of proximal anastomosis. And in one case we found a small diverticula an hairy urethra. There was no stricture formalion in all cases.

We think that the turn-over urethroplasty technigue with hâirless penile skin can be the preferred method in anterior urcthral stricture with long segment and excessive fibrosis because it can be casily applied and it has succesfuli results.