A gracilis myocutaneous flap for reconstruction of the scrotum

Ramos, Roberto Rudge; Andrews, Jorge de Moura; Ferreira, Lydia Masako

doi:10.1016/0007-1226(84)90005-5

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…To overcome the disadvantages of STSG, fasciocutaneous or musculocutaneous flaps, including the scrotal skin flap, gracilis myocutaneous flap [11], pedicle anterolateral thigh flap [12], and anteromedial thigh fasciocutaneous flap [13], were used, which produced excellent cosmetic outcomes. These flaps had reliable circulation and provided sufficient size, good flexibility and subcutaneous tissues for the penile shaft.…”

Section: Discussionmentioning

confidence: 99%

Staged male genital reconstruction with a local flap and free oral graft: a case report and literature review

Zheng¹,

Xie²,

Fu³

et al. 2019

BMC Urol

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BackgroundMale genital skin loss is a common disease in urology. However, male genital skin loss accompanying a penile urethra defect is rarely reported. Herein, we describe a novel surgical technique using a composite local flap and oral mucosal graft to reconstruct the penis, which may provide a new solution for patients with similar conditions.Case presentationA 36-year-old male with a penile urethra defect and a large area of genital skin loss required urethral reconstruction. The meatus had descended to the penoscrotal junction. This procedure was divided into three stages. The first stage of the surgery involved burying the nude penile shaft beneath the skin of the left anteromedial thigh for coverage of the skin defect. The second stage consisted of releasing the penis and expanding the size of the urethral plate for further urethroplasty. The third stage consisted of reconstruction of the anterior urethra 6 months later. Postoperatively, the patient reported satisfactory voiding. The maximal flow rate (MFR) was 22.2 ml/s with no postvoiding residual urine at the 24-month follow-up visit. No edema, infection, hemorrhage, or cicatricial retraction were observed. The patient’s erectile function was satisfactory, and his international index of erectile function-5 score (IIEF-5 score) was 23 at the 24-month follow-up visit. Additionally, the presence of nocturnal penile tumescence demonstrated that he had normal erectile function.ConclusionsThis procedure is an effective surgical option for men with complete foreskin and penile urethra defects. It could also be extended as a treatment strategy when composite local or pedicle transposition flaps and free grafts are needed for specific patients.

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Section: Discussionmentioning

confidence: 99%

Staged male genital reconstruction with a local flap and free oral graft: a case report and literature review

Zheng¹,

Xie²,

Fu³

et al. 2019

BMC Urol

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show abstract

“…Implantation of the testicles into subcutaneous pouches in the thighs was also described but requires a two stage operation [7,9]. All o f these give p o o r results both from the functional and the esthetic point o f view [11,14].…”

Section: Discussionmentioning

confidence: 99%

Total scrotal reconstruction with vertical rectus abdominis musculocutaneous (VRAM) flap in the treatment of penoscrotal lymphedema

et al. 1992

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A 37-year-old man with scrotal and penile lymphedema was treated by total excision of the scrotal and penile skin and subcutaneous tissue. Split thickness skin grafts were used to cover the penis and the pubic area. An inferiorly based left rectus abdominis muscle with a 12 x 16 cm skin island from the epigastric region was used to reconstruct the scrotum. The VRAM flap is a simple, reliable flap and it provides sufficient coverage of the exposed testicles after total excision of diseased scrotal skin. It also gives a satisfactory esthetic result. The VRAM flap may be another source for reconstruction of the total scrotum.

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“… 8 , 24 The gracilis flap has a long pedicle that allows a good arc of rotation and great blood supply, in addition to the well-nourished sensitive skin. 124 …”

Section: Reconstructionmentioning

confidence: 99%