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The bladder flap for urethral reconstruction in total phalloplasty
Plastic and Reconstructive Surgery
|August 1, 1984
Summary
A novel bladder wall flap urethroplasty technique offers a two-stage solution for urethral reconstruction. This method avoids strictures and enables full phallus reconstruction for improved patient function.
Area of Science:
- Urology
- Reconstructive Surgery
Background:
- Urethroplasty is a surgical procedure to repair or reconstruct the urethra.
- Traditional techniques can be associated with complications such as strictures.
Observation:
- A new urethroplasty technique using a full-thickness bladder wall flap has been developed.
- The procedure involves a two-stage tubing and transfer of the flap, measuring approximately 28 x 4 cm.
Findings:
- This bladder flap urethroplasty technique has shown no occurrences of strictures.
- Careful placement of the tube is necessary to prevent kinking at the penopubic angle.
Implications:
- Combining this technique with modern phalloplasty allows for complete phallus reconstruction, including a functional urethra.
- This approach facilitates satisfactory intercourse and orthostatic micturition with fewer operations.