SECOND FREE RADIAL FOREARM FLAP FOR URETHRAL RECONSTRUCTION AFTER PARTIAL FLAP NECROSIS OF TUBE-IN-TUBE PHALLOPLASTY WITH RADIAL FOREARM FLAP: A REPORT OF TWO CASES

被引：5

作者：

Tchang, Laurent A. H. ^{[1
]}

Largo, Rene D. ^{[1
]}

Babst, Doris ^{[1
]}

Wettstein, Reto ^{[1
]}

Haug, Martin D. ^{[1
]}

Kalbermatten, Daniel F. ^{[1
]}

Schaefer, Dirk J. ^{[1
]}

机构：

[1] Univ Basel Hosp, Dept Plast Reconstruct Aesthet & Hand Surg, CH-4031 Basel, Switzerland

来源：

MICROSURGERY | 2014年 / 34卷 / 01期

关键词：

TO-MALE TRANSSEXUALS; DONOR-SITE MORBIDITY; PENILE RECONSTRUCTION; GENDER REASSIGNMENT; EXPERIENCE; SENSATE;

D O I：

10.1002/micr.22168

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We present a salvage procedure to reconstruct the neo-urethra after partial flap necrosis occurring in free radial forearm flap (RFF) phalloplasty for sex reassignment surgery. Two cases of tube-in-tube phalloplasty using a free sensate RFF are described in which partial flap necrosis occurred involving the complete length of the neo-urethra and a strip of the outer lining of the neo-phallus. Neo-urethra-reconstruction was performed with a second RFF from the contralateral side providing well-vascularized tissue. No flap-related complications were observed. Twelve months postoperatively, both patients were able to void while standing. A satisfactory aesthetic appearance of the neo-phallus could be preserved with an excellent tactile and erogenous sensitivity. Using this technique, we successfully salvaged the neo-urethra and reconstructed the outer lining of the neo-phallus (c) 2013 Wiley Periodicals, Inc.

引用

页码：58 / 63

页数：6

共 19 条

[1] Phalloplasty in Female-to-Male Transsexuals: Experience from 259 Cases [J].

Baumeister, S. ;

Sohn, M. ;

Domke, C. ;

Exner, K. .

HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 2011, 43 (04) :215-221

[2] FOREARM FLAP IN ONE-STAGE RECONSTRUCTION OF THE PENIS [J].

CHANG, TS ;

HWANG, WY .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1984, 74 (02) :251-258

[3] Urethral reconstruction using the radial forearm free flap: Experience in oncologic cases and gender reassignment [J].

Dabernig, Joerg ;

Shelley, Odhran P. ;

Cuccia, Guiseppe ;

Schaff, Juergen .

EUROPEAN UROLOGY, 2007, 52 (02) :547-554

[4] Penile Reconstruction with the Radial Forearm Flap: An Update [J].

Doornaert, M. ;

Hoebeke, P. ;

Ceulemans, P. ;

T'Sjoen, G. ;

Heylens, G. ;

Monstrey, S. .

HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 2011, 43 (04) :208-214

[5] PHALLOPLASTY FOR FEMALE TRANSSEXUALS WITH SENSATE FREE FOREARM FLAP [J].

FANG, RH ;

LIN, JT ;

MA, S .

MICROSURGERY, 1994, 15 (05) :349-352

[6] Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases [J].

Fang, RH ;

Kao, YS ;

Ma, S ;

Lin, JT .

BRITISH JOURNAL OF PLASTIC SURGERY, 1999, 52 (03) :217-222

[7] Total Phallic Reconstruction in Female-to-Male Transsexuals [J].

Garaffa, Giulio ;

Christopher, Nim A. ;

Ralph, David J. .

EUROPEAN UROLOGY, 2010, 57 (04) :715-722

[8]

GOTTLIEB LJ, 1993, PLAST RECONSTR SURG, V92, P276, DOI 10.1097/00006534-199308000-00012

[9]

HAGE JJ, 1993, MICROSURG, V14, P592

[10] RECONSTRUCTION OF THE URETHRA FOR HYPOSPADIAC CRIPPLES BY MICROVASCULAR FREE FLAP TRANSFERS [J].

HARRISON, DH .

BRITISH JOURNAL OF PLASTIC SURGERY, 1986, 39 (03) :408-413

← 1 2 →