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Laser epilation of luminal hair following skin graft urethroplasty for hypospadias: the hair snare
  1. Siddharth Kumar,
  2. Ankur Mittal,
  3. Vikas Kumar Panwar and
  4. Arup Kumar Mandal
  1. Urology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Ankur Mittal; departmenturologyaiimsrksh{at}gmail.com

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.

  • urology
  • urinary tract infections

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Footnotes

  • Contributors SK: manuscript preparation, data collection. AM: manuscript editing. VKP: manuscript editing. AKM: final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.