Total anterior urethral reconstruction with the 'BAES flap' in a spinal cord-injured patient.
METHODS
A case report of urethral destruction in a spinal cord injured (SCI) patient.


OBJECTIVE
To report the reconstruction of the whole anterior urethra in one-stage using an epilated scrotal flap.


METHODS
Institut Guttmann, Hospital de Neurorehabilitació, Barcelona, Spain.


METHODS
A one-stage tubular substitution urethroplasty based on a bi-axial epilated scrotal flap design ('BAES flap') was performed successfully.


RESULTS
Long-term follow-up of 6 years has confirmed the excellent adaptation of the flap to its urethral function.


CONCLUSIONS
The bipedicle epilated scrotal flap can effectively resolve this challenging urethral pathology.
Gil-Vernet
A
A
Department of Urology, Clínica Sant Josep, Barcelona, Spain.
Arango
O
O
Gil-Vernet
J M
JM
Borau
A
A
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011782:Quadriplegia / Q000150:complications* / Q000175:diagnosis; D019651:Plastic Surgery Procedures / Q000379:methods*; D012611:Scrotum / Q000637:transplantation*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014521:Urethra / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods