title: Free radial forearm flap in an adult with hypospadias.
abstract: 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.
authors.affiliation: Department of Pediatric Surgery, Chang Gung Children's Hospital, Taipei. lifen@cgmh.org.tw
authors.forename: Chih-Cheng
authors.initials: CC
authors.lastname: Luo
authors.forename: Chen-Sheng
authors.initials: CS
authors.lastname: Huang
authors.forename: Jeng-Yee
authors.initials: JY
authors.lastname: Lin
authors.forename: Chi-Feng
authors.initials: CF
authors.lastname: Huang
authors.forename: Zung-Chung
authors.initials: ZC
authors.lastname: Chen
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D005542:Forearm; D006801:Humans; D007021:Hypospadias / Q000601:surgery*; D008297:Male; D013524:Surgical Flaps