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.
Division of Plastic and Reconstructive Surgery, Barnes Hospital, Washington University Medical Center, St. Louis, Missouri.
G W
GW
Lee
R K
RK
Khouri
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*