Titre

Total Urethra and Penile Shaft Reconstruction with Combined Pedicled Anterolateral Thigh Flap and Radial Forearm Free Flap after Total Penectomy

Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Archives of Plastic Surgery
Auteur(s)
di Summa, Pietro Giovanni
Auteure/Auteur
Sapino, Gianluca
Auteure/Auteur
Bauquis, Olivier
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2234-6163
Statut éditorial
Publié
Date de publication
2022-05
Volume
49
Numéro
03
Première page
448
Dernière page/numéro d’article
452
Langue
anglais
Résumé
Total reconstruction of the penis (TPR) represents a challenge for urologists and plastic surgeons, especially when urethral length is severely reduced. We here describe, for the first time in an oncologic scenario, a double flap phalloplasty using a pedicled anterolateral thigh (ALT) flap for penile reconstruction and a radial forearm free flap (RFFF) for complete neourethra and glans reconstruction following penile amputation. A 48-year-old patient came to our department following a total penectomy with inferior urethral derivation. The indication for a double flap phalloplasty was posed as only way to fully reconstruct the urethra on its length avoiding possible complications of single flap reconstruction using tube-into-tube technique. Both flaps healed uneventfully with no neourethral strictures or fistulas described. At 18 months follow-up, the patient was extremely satisfied with the aesthetic result and was able to void in standing position. We think that a double free tissue transfer for TPR should be considered, particularly when a urethral length > 14 cm needs to be reconstructed. While the pedicled ALT can be used to reconstruct a proper penile shaft with an easily concealed scar, the RFFF can provide adequate neourethra length with satisfactory sensory recovery at the neoglans.
Sujets

penile reconstruction...

PID Serval
serval:BIB_8165E80B0791
DOI
WOS
Permalien
Open Access
Oui
Date de création
2022-06-10T14:15:17.585Z
Date de création dans IRIS
2025-05-21T04:41:30Z
Fichier(s)
En cours de chargement...
Vignette d'image
Nom

35832155_BIB_8165E80B0791.pdf

Version du manuscrit

published

Licence

https://creativecommons.org/licenses/by-nc-nd/4.0

Taille

1.91 MB

Format

Adobe PDF

PID Serval

serval:BIB_8165E80B0791.P001

URN

urn:nbn:ch:serval-BIB_8165E80B07918

Somme de contrôle

(MD5):7e8e9d700dc3e790e9fb37e482370cd8