[One-stage phallic reconstruction with extended pudendal-thigh flap: a desirable surgical option].
OBJECTIVE
To investigate the feasibility of one-stage phallic reconstruction with the extended pudendal-thigh flap (EPTF) to achieve a higher survival rate, shorter surgical cycle, and more experimental evidence for the clinical application of the technique.


METHODS
We equally randomized 36 healthy adult New Zealand rabbits to an experimental and a control group to receive one-stage phallic reconstruction, the former with EPTF (pudendal-thigh flap + thigh cutaneous branches of the superficial external pudendal artery, PTF + TCB), the urethra reconstructed with the TCB flap, and the latter with bilateral pudendal-thigh flaps.


RESULTS
The survival rate of the reconstructed phallus was 83.33% (15/18) and the urine leakage was 55.56% (10/18) in the experimental group, as compared with 38.89% (7/18) and 72.22% (13/18) in the controls.


CONCLUSIONS
One-stage phallic reconstruction with EPTF, with its higher survival rate and shorter surgical cycle, is a desirable substitute for phallic reconstruction with bilateral pudendal-thigh flaps.
Zeng
You-lin
YL
Department of Urology, Tongji Hospital, Tong]i Mredical College, HuazhonLg UnivLeersity of Science and Technologyv, Wuhan, Hubei 430030, China.
Liu
Ji-hong
JH
D000818:Animals; D008297:Male; D010413:Penis / Q000601:surgery*; D011817:Rabbits; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery*