Back to the future: The Cecil-Culp technique for salvage penile reconstructive procedures

Weiß, Dana; Long, Christopher J.; Frazier, Jennifer; Shukla, Aseem R.; Srinivasan, Arun K.; Kolon, Thomas F.; DiCarlo, Heather; Gearhart, John P.; Canning, Douglas A.

doi:10.1016/j.jpurol.2018.04.026

Cited by 8 publications

(3 citation statements)

References 23 publications

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“…They achieved some improvement in outcome but still had significant complications in more than 30% of their cases. 19 The incorporation of virtually the entire length of the penile shaft meant more extensive dissection, and could explain the incidences of complications including scrotal abscess in their series. Routh et al, and Pescheloche et al working independently reported their experiences with the use of tunica vaginalis flap for repair of recurrent UCF.…”

Section: Discussionmentioning

confidence: 99%

Side-to-side penoscrotal anastomosis: a reliable technique for repair of recurrent urethrocutaneous fistula in male children

Okoro

Onyeanunam

2021

Int Surg J

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Background: Surgical repair of urethrocutaneous fistulae (UCF) is relatively simple and results are often satisfactory. However, in some cases of UCF, recurrence results despite several attempts at repair. Reports are scanty on the management of such recalcitrant UCF. The aim of the study was to present our experience with recurrent UCF, and describes our technique of side-to-side penoscrotal anastomosis for repair of such fistulae.Methods: This was a 10 years analytical comparative study of the outcome of repair of recurrent UCF in paediatric patients using the simple double layer repair technique, and our technique of anastomosing the penis to the scrotum between 2008 and 2019 in our centre. Data obtained and analysed with SPSS 21 version included the number of previous attempts at repair, number, site and size of UCF, technique of repair, and the incidence of recurrence of UCF.Results: Nineteen patients were studied. Nine had conventional double layer repair of UCF with recurrence in 5 (55.6%). Two of the recurrent cases were added to the remaining 10 patients to make a total of 12 cases who had the staged repair by penoscrotal anastomosis (PSA) and there was no recurrence during the average follow up period of 1 year. P value was <0.05.Conclusions: Findings in this study suggest a superior outcome when the penoscrotal anastomosis is used for repair of recurrent UCF. We think it is better to apply this technique in cases of UCF which the surgeon considers potentially difficult than to wait to have a failed attempt before deploying it.

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Section: Discussionmentioning

confidence: 99%

Side-to-side penoscrotal anastomosis: a reliable technique for repair of recurrent urethrocutaneous fistula in male children

Okoro

Onyeanunam

2021

Int Surg J

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“…Z-plasty can be used to address these problems, but the risk of flap necrosis remains. Although the scrotal flap technique has low donor site morbidity, this technique has the drawback of ectopic hair growth arising from the wrinkled hairy scrotal skin that was transferred to the penile shaft, in addition to the above-mentioned cosmetic problem [7].…”

Section: Discussionmentioning

confidence: 99%

“…Skin graft reconstruction is the simplest, but it is not able to secure appropriate volumes and has the associated risk of shearing and contracture [4,5]. The scrotal flap technique is simple with fewer complications, but it is difficult to obtain appropriate bulkiness, and has cosmetic disadvantages after surgery arising from ectopic hair growth [6,7]. The radial forearm free flap provides an adequately thin flap and yields good results in terms of appearance and function, but requires a microscopic procedure and has relatively high complication and donor morbidity rates [8].…”

Section: Introductionmentioning

confidence: 99%

Utility of Groin Flap in Penile Reconstruction

et al. 2020

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Background: Reconstruction surgery for skin and soft tissue defects of the penis would ideally secure sufficient volume, be safe in procedure, and involve a simple surgical technique. Among the wide variety of techniques that have been employed, the groin flap-based technique is considered a relatively simple option for volumetric reconstruction. In this retrospective study, the authors report cases of penile reconstructive surgery using a groin flap.Methods: We performed a retrospective chart review of patients with penile defects treated in our department. Reconstructive surgeries were carried out using pedicled groin flaps. Charts were reviewed to investigate duration of the surgeries, recovery and follow-up periods, and bulkiness at one and 10 months after surgery. Patients were observed postoperatively for complications, urination, and erectile function.Results: Six patients hospitalized from March 2009 to September 2013 for penile defects underwent surgery in our department. All patients recovered without any flap loss. The most common complication after surgery was wound dehiscence. Circumferences of penile shafts were measured at 1 and 10 months after surgery, and penile bulkiness at rest were found to be maintained at >86%. There were no patients with contracture, and in all patients, urination and erectile functions were satisfactory.Conclusion: Reconstructing penile defects using groin flaps was found to be favorable in terms of volumetric reconstruction and postoperative patient satisfaction. Furthermore, the surgery and recovery periods are short, and rates of complication and donor site morbidity are also low.

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The Cecil-Culp Technique

Weiß

Canning

2022

Hypospadias Surgery

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Back to the future: The Cecil-Culp technique for salvage penile reconstructive procedures

Cited by 8 publications

References 23 publications

Side-to-side penoscrotal anastomosis: a reliable technique for repair of recurrent urethrocutaneous fistula in male children

Side-to-side penoscrotal anastomosis: a reliable technique for repair of recurrent urethrocutaneous fistula in male children

Utility of Groin Flap in Penile Reconstruction

The Cecil-Culp Technique

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