Reconstruction of Penile and Long Urethral Defect Using a Groin Flap

Hwang, So Min; Lim, On; Kim, Hyung Do; Shin, Dong Gil

doi:10.15596/arms.2016.25.1.19

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…For one-stage phallo-urethroplasty, groin flaps, anterolateral thigh flaps, thoracodorsal artery perforator flaps and other myocutaneous and fasciocutaneous flaps in various combinations have been recommended. [13][14][15][16][17][18][19][20][21] The presence of axial blood supply, the constancy of the vascular anatomy, and the possibility of modeling the neophallus of a given size allow for evaluating the extent of tissue viability and availability of a thoracodorsal flap for reconstructive phalloplasty. The most optimal reconstruction method of the male urogenital region in cases of total penile amputation is the phalloplasty technique with a TDAPF followed by urethroplasty using a prefabricated RFFF.…”

Section: Discussionmentioning

confidence: 99%

Reconstructive Surgery for High-voltage Injury of Genitoperineal Area and Upper Extremities: The Uromanual Trauma Concept

Adamyan

Aleshina

Abdeeva

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: Reconstruction of tissue defects resulting from high-voltage injuries remains a serious issue in plastic surgery. For many years it has been solved by applying autologous reconstruction with rotated and revascularized flaps. We present a series outlining reconstructive practices in treatment of patients with high-voltage “uromanual” injuries. These types of injuries include a group of upper extremities and genitoperineal high-voltage trauma due to urination on an electrical source, which are rarely discussed in the literature. This study aimed to describe the algorithm of perioperative care and surgical treatment in patients with high-voltage uromanual trauma. Three male patients (mean age 26.3 years, range: 20–35 years) with traumatic injury of the genital area and the upper extremities due to high-voltage injury underwent reconstruction with a one-stage repair of defects. In one patient, the defect of the left upper extremity was eliminated by microsurgical autotransplantation of musculocutaneous thoracodorsal artery perforator flap. The genitoperineal region was repaired using rotated scrotal flaps. In two other cases, phalloplasty with a revascularized myocutaneous thoracodorsal artery perforator flap was followed by urethroplasty with a prefabricated radial forearm free flap. Hand deformities were eliminated using split-thickness skin autografts. All flaps survived. No complications were observed in the autograft harvesting areas. All cases showed good aesthetic and functional postoperative outcomes. Management of uromanual injuries should include one-stage reconstruction of upper extremities and genitoperineal defects for restoration of satisfying functional and aesthetic components crucial for patient’s quality of life and socialization.

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Section: Discussionmentioning

confidence: 99%

Reconstructive Surgery for High-voltage Injury of Genitoperineal Area and Upper Extremities: The Uromanual Trauma Concept

Adamyan

Aleshina

Abdeeva

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Staged penile reconstruction with pedicled groin flap for penile shaft necrosis following circumcision

Musa

Ahmed

2021

BMJ Case Rep

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A 10-year-old boy was referred by urologist to plastic surgery department with penile shaft necrosis after debridement of necrotic tissue and dry eschar that extends from the glans to the penile root and was started to separate. Also, they managed to insert urethral catheter. He had traditional circumcision 2 weeks earlier performed at home by a traditional health practitioner, resulting in full-thickness tissue loss involving skin and corpora cavernosa with sparing of the glans which was attached by stalk of scared tissue enveloping the spongiosum. After assessment and analysis of the defect was done, two-stage pedicled groin flap reconstruction was performed with satisfactory results. In this report, we are demonstrating procedure steps and outcome.

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Reconstruction of Penile and Long Urethral Defect Using a Groin Flap

Cited by 2 publications

References 9 publications

Reconstructive Surgery for High-voltage Injury of Genitoperineal Area and Upper Extremities: The Uromanual Trauma Concept

Reconstructive Surgery for High-voltage Injury of Genitoperineal Area and Upper Extremities: The Uromanual Trauma Concept

Staged penile reconstruction with pedicled groin flap for penile shaft necrosis following circumcision

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