A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery
A radial forearm free flap has been conventionally used for urethral reconstruction. However, aesthetic and functional complications occur frequently at the donor site. The use of a superficial circumflex iliac artery perforator (SCIP) flap can resolve these disadvantages. Here, we report our case w...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-05-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.e-aps.org/upload/pdf/aps-39-253.pdf |
| _version_ | 1798039630294024192 |
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| author | Kun-Woon Yoo Hyun-Woo Shin Hye Kyung Lee |
| author_facet | Kun-Woon Yoo Hyun-Woo Shin Hye Kyung Lee |
| author_sort | Kun-Woon Yoo |
| collection | DOAJ |
| description | A radial forearm free flap has been conventionally used for urethral reconstruction. However, aesthetic and functional complications occur frequently at the donor site. The use of a superficial circumflex iliac artery perforator (SCIP) flap can resolve these disadvantages. Here, we report our case with a review of literature. A 69-year-old man visited our hospital with multiple contusions of the abdomen and genital amputation. After necrotic tissue debridement, the length of the residual corpus carvernosum was 1.5 cm and that of the corpus spongiosum and urethra was 1 cm. For the reconstruction of the penis, a SCIP flap and anterolateral thigh free flap was performed. The primary closure was performed at the donor site. Three weeks postoperatively, the patient had a urethral foley catheter removed. The neourethra was functioning well without stricture. Four months postoperatively, the patient had no complications such as urethral stricture. A good recovery was also achieved with no aesthetic deficits at the donor site. SCIP flap is appropriate for urethral reconstruction. Because of its proximity to the recipient sites, it makes surgical preparation easier and the primary closure at the donor site available. It is also advantageous in that its location is almost unnoticeable. |
| first_indexed | 2024-04-11T21:56:32Z |
| format | Article |
| id | doaj.art-2a73d557ce0b45a8841b1101e7aa48f8 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T21:56:32Z |
| publishDate | 2012-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-2a73d557ce0b45a8841b1101e7aa48f82022-12-22T04:01:04ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-05-0139325325634A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac ArteryKun-Woon Yoo0Hyun-Woo Shin1Hye Kyung Lee2Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.A radial forearm free flap has been conventionally used for urethral reconstruction. However, aesthetic and functional complications occur frequently at the donor site. The use of a superficial circumflex iliac artery perforator (SCIP) flap can resolve these disadvantages. Here, we report our case with a review of literature. A 69-year-old man visited our hospital with multiple contusions of the abdomen and genital amputation. After necrotic tissue debridement, the length of the residual corpus carvernosum was 1.5 cm and that of the corpus spongiosum and urethra was 1 cm. For the reconstruction of the penis, a SCIP flap and anterolateral thigh free flap was performed. The primary closure was performed at the donor site. Three weeks postoperatively, the patient had a urethral foley catheter removed. The neourethra was functioning well without stricture. Four months postoperatively, the patient had no complications such as urethral stricture. A good recovery was also achieved with no aesthetic deficits at the donor site. SCIP flap is appropriate for urethral reconstruction. Because of its proximity to the recipient sites, it makes surgical preparation easier and the primary closure at the donor site available. It is also advantageous in that its location is almost unnoticeable.http://www.e-aps.org/upload/pdf/aps-39-253.pdfUrethraSkin transplantationFree tissue flaps |
| spellingShingle | Kun-Woon Yoo Hyun-Woo Shin Hye Kyung Lee A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery Archives of Plastic Surgery Urethra Skin transplantation Free tissue flaps |
| title | A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery |
| title_full | A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery |
| title_fullStr | A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery |
| title_full_unstemmed | A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery |
| title_short | A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery |
| title_sort | case of urethral reconstruction using a superficial circumflex iliac artery |
| topic | Urethra Skin transplantation Free tissue flaps |
| url | http://www.e-aps.org/upload/pdf/aps-39-253.pdf |
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