Affiliation

Catholic University San Vicente Mártir. Valencia, Spain

Corresponding Author

Pedro Navalon Verdejo, Paseo Alameda 38- 2, 46023, Valencia, E-mail: pedronavalon@yahoo.com

Citation

Navalón, P., et al. Long-Term Follow- up of Malone Meatoplasty for Meatal Stenosis in Patients with Lichen Sclerosus. (2016) J Anesth Surg 4(2): 121- 124.

Copy rights

© 2017 Navalon, P. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.

Keywords

Abstract

Objective: To show our experience in the treatment of meatal stenosis secondary to balanitis xerotica obliterans by the use of a dorsal meatoplasty technique.
Materials and methods: We have performed dorsal meatoplasty to 57 patients suffering from meatal stenosis caused by lichen sclerosus. In all cases the individuals were operated on under local anesthesia and following Malone’s original technique: plasty through “inverted V” incision.
Results: In almost all the operated patients, we observed a significant improvement in urine flow and an excellent aesthetic result with very low incidence of disperse micturition. We have noted a high satisfaction rate by carrying out a survey. We didn’t register any post-operative complication. In 2 patients (3.5%) the stenosis reappeared and persisted during an average time of 39.5 months (range 6 - 130).
Conclusions: Dorsal meatoplasty with “inverted V” incision is an easily executable technique that can be performed under local anesthesia, avoids post-operative hypospadias and gives excellent aesthetic and functional results with low recurrence rate, which is why we hold the opinion that this procedure should be included in the daily practice of the urologist.