Treatment of urethral stricture in a female-to-male transsexual with a tubulized flap from the labia minora.
Urethral strictures are not uncommon after microvascular phalloplasty in female-to-male transsexuals, and usually are secondary to technical errors or vascular complications. A case of a female-to-male transsexual with recalcitrant urethral stricture after microvascular phalloplasty is reported. After one unsuccessful attempt at direct repair and a failed grafting procedure, a tubulized island flap from the remnants of the labia minora was successfully used to reconstruct the urethral stenosis. Current options for treatment of urethral stenoses in female-to-male transsexuals are discussed.
Cavadas
Pedro C
PC
Division of Reconstructive and Hand Surgery, Centro de Rehabilitación de Levante, Valencia, Spain.
Landin
Luis
L
D000328:Adult; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D013524:Surgical Flaps / Q000009:adverse effects; D014189:Transsexualism / Q000601:surgery*; D014521:Urethra / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014844:Vulva / Q000601:surgery*