The bladder flap for urethral reconstruction in total phalloplasty

Plastic and Reconstructive Surgery
M T EdgertonJ Horowitz

Abstract

At the University of Virginia Hospital we have developed a new technique of urethroplasty utilizing a full-thickness flap of bladder wall. Tubing and transfer of the flap may be completed in two stages. The bladder flap is approximately 28 X 4 cm in size. Strictures have not occurred with this technique, but special care is needed in placing the tube to avoid kinking of the new urethra at the angle where the penile urethra passes anterior to the pubic bone. In conjunction with modern methods of phalloplasty, a two-stage reconstruction of the entire phallus, including a functioning urethra, can be performed by combining the bladder wall flap with a modern (axial vessel) abdominal or groin skin flap. This will allow a patient to have satisfactory intercourse and permit orthostatic micturition with a minimum number of operative procedures.

Citations

Jan 1, 1995·Microsurgery·P LegaillardJ Baudet
Aug 1, 1986·Archives of Sexual Behavior·I B Pauly, M T Edgerton
Mar 17, 1999·Plastic and Reconstructive Surgery·I KoshimaT Moriguchi
Nov 12, 2010·Annales de chirurgie plastique et esthétique·H KossokoM Richard Kadio
Jan 29, 2017·Transplant International : Official Journal of the European Society for Organ Transplantation·Sami H TuffahaRichard J Redett
Aug 25, 2016·Plastic and Reconstructive Surgery·Shane D MorrisonGordon K Lee

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