World J Mens Health.  2014 Dec;32(3):189-191. 10.5534/wjmh.2014.32.3.189.

An Unexpected Course after Simultaneous Urethral Repair and Reimplantation of Penile Prosthesis in a Patient with a Urethral Stricture

• Shin YS
• Ko OS
• Zhang LT
• Zhao C
• Park JK

• KMID: 2320784
• DOI: http://doi.org/10.5534/wjmh.2014.32.3.189

Abstract

We experienced the growth of urethral hair along the urethral stricture six years after simultaneous urethral repair and reimplantation of penile prosthesis (RPP) in a patient with a urethral stricture. We detected hair in the urethra with a stricture on the bulbous urethra. Further, we performed hair removal by using a pair of cystoscopic forceps and internal urethrotomy. Then, we performed RPP, and the patient voided well; the prosthesis worked very well and without any complications. One-stage urethroplasty with a pedicle island of the penile skin and RPP in a simultaneous stage may be an option for treating the long-segment urethral stricture in the penile prosthesis patient. However, we should pay attention to the urethral hair growth that can occur after urethral repair performed using a skin graft.

Keyword

Hair; Penile prosthesis; Urethral stricture

MeSH Terms

Constriction, Pathologic
Hair
Hair Removal
Humans
Penile Prosthesis*
Prostheses and Implants
Replantation*
Skin
Surgical Instruments
Transplants
Urethra
Urethral Stricture*

Figure

• 

  Fig. 1 Retrograde urethrogram showed stricture on bulbous urethra (arrow).

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  Fig. 2 Cystoscopic appearance of hair in penile urethra with stricture on bulbous urethra.

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  Fig. 3 Cystoscopic appearance of penile urethra after hair removal.

Reference

1. Cui WS, Kim SD, Choi KS, Zhao C, Park JK. An unusual success with simultaneous urethral repair and reimplantation of penile prosthesis in a patient with urethral stricture induced by rotated tubing. J Sex Med. 2009; 6:1783–1786.

2. Lee SW, Park BH, Lim JH, Cui WS, Kim MK, Park JK. Prevention of urethral stricture in insertion of an inflatable penile prosthesis. Int J Urol. 2008; 15:162–165.

3. Kukreja RA, Desai RM, Sabnis RB, Patel SH, Desai MR. The urethral instillation of depilatory cream for hair removal after scrotal flap urethroplasty. BJU Int. 2001; 87:708–709.

4. Finkelstein LH, Blatstein LM. Epilation of hair-bearing urethral grafts utilizing the neodymium:YAG surgical laser. Lasers Surg Med. 1990; 10:189–193.