Edgerton M T, Gillenwater J Y, Kenney J G, Horowitz J
Plast Reconstr Surg. 1984 Aug;74(2):259-66. doi: 10.1097/00006534-198408000-00015.
At the University of Virginia Hospital we have developed a new technique of urethroplasty utilizing a full-thickness flap of bladder wall. Tubing and transfer of the flap may be completed in two stages. The bladder flap is approximately 28 X 4 cm in size. Strictures have not occurred with this technique, but special care is needed in placing the tube to avoid kinking of the new urethra at the angle where the penile urethra passes anterior to the pubic bone. In conjunction with modern methods of phalloplasty, a two-stage reconstruction of the entire phallus, including a functioning urethra, can be performed by combining the bladder wall flap with a modern (axial vessel) abdominal or groin skin flap. This will allow a patient to have satisfactory intercourse and permit orthostatic micturition with a minimum number of operative procedures.
在弗吉尼亚大学医院，我们开发了一种利用膀胱壁全层皮瓣的尿道成形新技术。皮瓣的管道制作和转移可分两个阶段完成。膀胱皮瓣大小约为28×4厘米。采用这种技术尚未出现狭窄情况，但在放置导管时需要特别小心，以避免新尿道在阴茎尿道耻骨前通过的角度处发生扭结。结合现代阴茎成形术方法，通过将膀胱壁皮瓣与现代（轴型血管）腹部或腹股沟皮瓣相结合，可以对整个阴茎进行两阶段重建，包括构建一个有功能的尿道。这将使患者能够进行满意的性交，并通过最少数量的手术实现站立排尿。
