Reconstruction of a near total male urethral defect with a microvascular free flap.

Lee, G W; Khouri, R K · J Urol · 1993

case_report · Level V

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Abstract

We describe a new technique for reconstruction of a traumatic near total male urethral defect. With this procedure a microvascular free flap transfer of the radial forearm skin is used to create a 23 cm. neourethra extending from the urogenital diaphragm to the glans of the penis. This single-stage transfer allows large traumatic wounds to heal, enables the patient to urinate while standing without strictures, and maintains urinary continence.

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