Laser epilation of luminal hair following skin graft urethroplasty for hypospadias: the hair snare

Author:

Kumar SiddharthORCID,Mittal Ankur,Panwar Vikas Kumar,Mandal Arup Kumar

Abstract

A 66-year-old man, who underwent urethral reconstruction using skin grafts for hypospadias five decades earlier as a 13-year-old child, presented with burning micturition and recurrent UTI. A retrograde urethrogram along with micturating cystourethrogram revealed a bulbar urethral stricture and broad neck distal penile urethral diverticulum. On a cystourethroscopic examination, a urethral diverticulum was seen just proximal to the hypospadiac external urethral meatus with 12–15 hair follicles inside the diverticulum and a 1 cm long mid-bulbar stricture. Visual internal urethrotomy for the bulbar stricture, a diverticular neck incision, laser epilation and hair follicle photocoagulation was performed using a 30 W Ho:YAG laser. The depilated hair tufts were extracted. The process was repeated again in 6 months due to recurrent symptoms. A patent urethra with a wide open diverticulum without any residual hair follicles was confirmed. No perioperative complications noted and the patient is doing well on 1 month of follow-up.

Publisher

BMJ

Subject

General Medicine

Reference14 articles.

1. The hystory of hypospadias;Smith;Pediatr Surg Int,1977

2. Management of urethral diverticulum complicating hypospadias repair;Snyder;J Pediatr Urol,2005

3. 'Pseudospongioplasty' in the repair of a urethral diverticulum;Radojicic;BJU Int,2004

4. Failed hypospadias repair presenting in adults;Barbagli;Eur Urol,2006

5. Long-Term results of one-stage scrotal patch urethroplasty;Rogers;Br J Urol,1992

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