Total penile and urethral reconstruction with an expanded sensate lateral arm flap: case report.
The use of cutaneous or musculocutaneous flaps for total phalloplasty requires the lack of hairy skin; otherwise urethral strictures most likely will occur. A case of simultaneous total penile and urethral reconstruction using an expanded lateral arm sensory free flap is presented. The use of an expander in a small area of hairless skin on the lateral arm results in a free flap of sufficient size. This procedure proves to be a useful addition to the reconstructive armamentarium in dealing with similar challenging cases of penile reconstruction.
Shenaq
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Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030.
Dinh
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TA
D000328:Adult; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019736:Prostheses and Implants; D013524:Surgical Flaps; D014521:Urethra / Q000601:surgery*