Staged male genital reconstruction with a local flap and free oral graft: a case report and literature review
| العنوان: | Staged male genital reconstruction with a local flap and free oral graft: a case report and literature review |
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| المؤلفون: | Hai-Jun Yao, Jianhua Guo, Minkai Xie, Shibo Fu, Da-Chao Zheng, Zhong Wang, Wen-Ji Li |
| المصدر: | BMC Urology, Vol 19, Iss 1, Pp 1-5 (2019) BMC Urology |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Penile urethra defect, medicine.medical_specialty, Urologic Surgical Procedures, Male, Meatus, Urology, Urethroplasty, medicine.medical_treatment, 030232 urology & nephrology, Case Report, Thigh, lcsh:RC870-923, Surgical Flaps, 03 medical and health sciences, Foreskin, 0302 clinical medicine, medicine, Humans, Sex organ, business.industry, Mouth Mucosa, General Medicine, Plastic Surgery Procedures, Free oral graft, lcsh:Diseases of the genitourinary system. Urology, Surgery, medicine.anatomical_structure, Urethra, Reproductive Medicine, 030220 oncology & carcinogenesis, Nocturnal penile tumescence, Local flap, Genital reconstruction, business, Penis |
| الوصف: | Background Male genital skin loss is a common disease in urology. However, male genital skin loss accompanying a penile urethra defect is rarely reported. Herein, we describe a novel surgical technique using a composite local flap and oral mucosal graft to reconstruct the penis, which may provide a new solution for patients with similar conditions. Case presentation A 36-year-old male with a penile urethra defect and a large area of genital skin loss required urethral reconstruction. The meatus had descended to the penoscrotal junction. This procedure was divided into three stages. The first stage of the surgery involved burying the nude penile shaft beneath the skin of the left anteromedial thigh for coverage of the skin defect. The second stage consisted of releasing the penis and expanding the size of the urethral plate for further urethroplasty. The third stage consisted of reconstruction of the anterior urethra 6 months later. Postoperatively, the patient reported satisfactory voiding. The maximal flow rate (MFR) was 22.2 ml/s with no postvoiding residual urine at the 24-month follow-up visit. No edema, infection, hemorrhage, or cicatricial retraction were observed. The patient’s erectile function was satisfactory, and his international index of erectile function-5 score (IIEF-5 score) was 23 at the 24-month follow-up visit. Additionally, the presence of nocturnal penile tumescence demonstrated that he had normal erectile function. Conclusions This procedure is an effective surgical option for men with complete foreskin and penile urethra defects. It could also be extended as a treatment strategy when composite local or pedicle transposition flaps and free grafts are needed for specific patients. |
| تدمد: | 1471-2490 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::44ac0ca18cd6e09f7a9e667f66e7656a https://doi.org/10.1186/s12894-019-0537-6 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....44ac0ca18cd6e09f7a9e667f66e7656a |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14712490 |
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