Blandy Perineal Urethrostomy
The Blandy perineal urethrostomy creates a permanent stoma in the perineum by marsupializing the bulbar urethra to the perineal skin, allowing voiding through a perineal opening rather than the native meatus. It is offered to patients with complex, recurrent pan-urethral stricture disease who decline or are unfit for further reconstructive attempts. The procedure is well-tolerated and provides effective drainage, though patients must sit to void and psychological impact should be addressed preoperatively.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Blandy JP, Singh M, Notley RG, Tresidder GC. "Urethroplasty by scrotal flap for long urethral strictures." Br J Urol. 1968;40(6):690–8. DOI: 10.1111/j.1464-410X.1968.tb09886.x
- Barbagli G, Azzaro F, Menese A, Lazzeri M, De Angelis M. "Long-term results of perineal urethrostomy with the 7-flap technique." BJU Int. 2012;110(11):1730–5. PMID: 22882258