Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture
This report describes the use of a tubularized random flap for the curative treatment of recurrent anterior urethral stricture. Under the condition of pendulous lithotomy and suprapubic cystostomy, the urethral stricture was removed via a midline ventral penile incision followed by elevation of the flap and insertion of an 18-Fr catheter. Subcutaneous buried interrupted sutures were used to reapproximate the waterproof tubularized neourethra and to coapt with the neourethra and each stump of the urethra, first proximally and then distally. The defect of the penile shaft was covered by advancement of the surrounding scrotal flap. The indwelling catheter was maintained for 21 days. A 9 month postoperative cystoscopy showed no flap necrosis, no mechanical stricture, and no hair growth on the lumen of the neourethra. The patient showed no voiding discomfort 6 months after the operation. The advantages of this procedure are the lack of need for microsurgery, shortening of admission, the use of only spinal anesthesia (no general anesthesia), and a relatively short operative time. The tubularized unilateral penile fasciocutaneous flap should be considered an option for initial flap urethroplasty as a curative technique.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Tubularized Penile-Flap Urethroplasty Using a Fasciocutaneous Random Pedicled Flap for Recurrent Anterior Urethral Stricture ; volume:39 ; number:03 ; year:2012 ; pages:257-260
Archives of Plastic Surgery ; 39, Heft 03 (2012), 257-260
- Contributor
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Lee, Yong Jig
Lee, Byung Kwon
- DOI
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10.5999/aps.2012.39.3.257
- URN
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urn:nbn:de:101:1-2022061610190306926323
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:29 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Lee, Yong Jig
- Lee, Byung Kwon
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Total Urethra and Penile Shaft Reconstruction with Combined Pedicled Anterolateral Thigh Flap and Radial Forearm Free Flap after Total Penectomy
Pedicled anterolateral thigh flap: A versatile flap for complex regional defect reconstruction
Everted Pedicled Temporalis Fascial Flap to Augment Pedicled Pericranial Flap for Lax Duraplasty in Decompressive Craniotomy: A Cost-Effective Procedure
Extension of Musculocutaneous Flap Reach Using a Perforator-Pedicled Propeller Flap Technique: A Case Report
Pedicled anterolateral thigh flap for contralateral groin composite defect
Pedicled anterolateral thigh flap for contralateral groin composite defect
Urethral flap glanuloplasty after partial penectomy for penile carcinoma : : evaluation of urinary, sexual and quality of life outcomes
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Vascularisation of Urethral Repairs with the Gracilis Muscle Flap
Modified Technique of Penile Reconstruction by Gracilis Myocutaneous Flap
The double-pedicled dorsal-metacarpal-artery (dpDMCA) flap of the hand: a novel DMCA-derived flap
Management of men with ultra-short penile urethral stricture using augmented anastomotic penile skin flap urethroplasty; a retrospective analysis
Total Urethra and Penile Shaft Reconstruction with Combined Pedicled Anterolateral Thigh Flap and Radial Forearm Free Flap after Total Penectomy
Pedicled anterolateral thigh flap: A versatile flap for complex regional defect reconstruction
Everted Pedicled Temporalis Fascial Flap to Augment Pedicled Pericranial Flap for Lax Duraplasty in Decompressive Craniotomy: A Cost-Effective Procedure
Extension of Musculocutaneous Flap Reach Using a Perforator-Pedicled Propeller Flap Technique: A Case Report
Pedicled anterolateral thigh flap for contralateral groin composite defect
Pedicled anterolateral thigh flap for contralateral groin composite defect
Urethral flap glanuloplasty after partial penectomy for penile carcinoma : : evaluation of urinary, sexual and quality of life outcomes
Urethral flap glanuloplasty after partial penectomy for penile carcinoma : : evaluation of urinary, sexual and quality of life outcomes
Vascularisation of Urethral Repairs with the Gracilis Muscle Flap
Modified Technique of Penile Reconstruction by Gracilis Myocutaneous Flap