Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, Basel, Switzerland.
Microsurgery. 2014 Jan;34(1):58-63. doi: 10.1002/micr.22168. Epub 2013 Sep 3.
We present a salvage procedure to reconstruct the neo-urethra after partial flap necrosis occurring in free radial forearm flap (RFF) phalloplasty for sex reassignment surgery. Two cases of tube-in-tube phalloplasty using a free sensate RFF are described in which partial flap necrosis occurred involving the complete length of the neo-urethra and a strip of the outer lining of the neo-phallus. Neo-urethra-reconstruction was performed with a second RFF from the contralateral side providing well-vascularized tissue. No flap-related complications were observed. Twelve months postoperatively, both patients were able to void while standing. A satisfactory aesthetic appearance of the neo-phallus could be preserved with an excellent tactile and erogenous sensitivity. Using this technique, we successfully salvaged the neo-urethra and reconstructed the outer lining of the neo-phallus
我们提出了一种挽救性手术方法，用于重建因性别重置手术游离前臂桡侧皮瓣（RFF）阴茎成形术中部分皮瓣坏死而导致的新尿道。描述了两例使用游离感觉 RFF 的管中管阴茎成形术，其中部分皮瓣坏死累及新尿道的全长和新阴茎的外皮条带。使用对侧的第二个 RFF 进行新尿道重建，提供了血运良好的组织。未观察到与皮瓣相关的并发症。术后 12 个月，两名患者均能站立排尿。新阴茎的外观令人满意，触觉和性敏感保留良好。使用该技术，我们成功地挽救了新尿道并重建了新阴茎的外皮。
