Long anterior urethral reconstruction using a jejunal free flap
Sebastien A G J Tourbach1, David Hunter-Smith, Wayne A Morrison
1Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, University of Melbourne, Melbourne, Victoria, Australia. sebastientourbach@hotmail.com
Journal of Plastic Surgery and Hand Surgery
|March 31, 2011
Summary
A free jejunal flap successfully reconstructed a transgender patient's urethral strictures after neophalloplasty. This surgical technique resulted in a functional urethra and improved cosmetic outcomes.
Area of Science:
- Urology
- Plastic Surgery
- Gender-affirming care
Background:
- Chronic urethral strictures can significantly impact quality of life following phalloplasty.
- Neophalloplasty, a complex procedure in gender-affirming surgery, carries risks including urethral complications.
Observation:
- A transgender male patient presented with chronic strictures of his neophalloplasty.
- Previous reconstructive attempts may have been unsuccessful or led to complications.
Findings:
- Successful long anterior urethral reconstruction was achieved using a free jejunal flap.
- The patient demonstrated a patent and functional urethra post-reconstruction.
- Satisfactory urinary control and positive cosmetic results were reported by the patient.
Implications:
- Free jejunal flaps represent a viable option for complex urethral reconstruction in transgender patients.
- This case highlights advancements in surgical techniques for managing neophalloplasty complications.
- Improved functional and aesthetic outcomes can be achieved through specialized reconstructive surgery.
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