Free radial forearm flap in an adult with hypospadias.
A 22-year-old man presented with a scarred neophallus and complex hypospadias. The local penile skin was inadequate for urethral repair. A 16 cm free radial forearm flap was used for urethral replacement. Microvascular anastomosis allowed this flap to remain viable and functional. One year postoperatively, the patient had satisfactory functional and cosmetic outcomes. A small fistula developed in the course of the proximal anastomosis, and it was successfully repaired. Our case describes the successful use of a free radial forearm flap for urethral reconstruction.
Luo
Chih-Cheng
CC
Department of Pediatric Surgery, Chang Gung Children's Hospital, Taipei. lifen@cgmh.org.tw
Huang
Chen-Sheng
CS
Lin
Jeng-Yee
JY
Huang
Chi-Feng
CF
Chen
Zung-Chung
ZC
D000328:Adult; D000714:Anastomosis, Surgical; D005542:Forearm; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps