Reconstruction of a near total male urethral defect with a microvascular free flap.
We describe a new technique for reconstruction of a traumatic near total male urethral defect. With this procedure a microvascular free flap transfer of the radial forearm skin is used to create a 23 cm. neourethra extending from the urogenital diaphragm to the glans of the penis. This single-stage transfer allows large traumatic wounds to heal, enables the patient to urinate while standing without strictures, and maintains urinary continence.
Lee
G W
GW
Division of Plastic and Reconstructive Surgery, Barnes Hospital, Washington University Medical Center, St. Louis, Missouri.
Khouri
R K
RK
D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D014948:Wounds, Gunshot / Q000601:surgery*