PMC3934782_01
Status 1 week after Blandy perineostomy, complicated by postoperative bleeding and wound dehiscence (left). Status 4 months after Blandy perineostomy and secondary wound healing. The perineal urethrostomy is completely obliterated (right).
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F1
Unfortunately, the postoperative period was complicated by bleeding, wound dehiscence and infection (fig. 1). Finally, the perineal urethrostomy became completely obliterated and a suprapubic catheter was placed (fig. 1).
The urethra has been opened and surrounding fibrotic tissue has been resected. Vicryl 4.0 sutures are placed to prepare the anastomosis for the graft.
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F2
Vicryl 4.0 stay sutures were placed at the mucosa to facilitate identification and to prepare the anastomosis for the graft (fig. 2).
Immediate postoperative view (left) and after 6 weeks (right).
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F3
Several additional quilting sutures were placed to fix the graft against the perineal graft bed (fig. 3). The perineal wound has healed well, with minimal contraction of the grafted area (fig. 3).