McAninch J W
Department of Urology, University of California School of Medicine, San Francisco 94143-0738.
J Urol. 1993 Mar;149(3):488-91. doi: 10.1016/s0022-5347(17)36125-6.
The circular fasciocutaneous penile flap originates on the distal penis and uses Buck's fascia as the major vascular conduit. It is hairless, provides up to 15 cm. of length, adapts to the entire anterior urethra, can be used in circumcised men, and provides the opportunity for 1-stage reconstruction of complex anterior strictures with excellent functional and cosmetic results. The flap was used in 10 patients with complex strictures 8 to 21 cm. long: 1 substitution urethroplasty of 8 cm. and 9 onlay urethroplasties (2 of which used a free penile skin graft and a bladder mucosa graft as supplementation to bridge defects of 18 and 21 cm., respectively). All patients have normal erectile function. No dilations were required, no strictures have recurred (mean followup 14.4 months) and mean maximal urinary flow rates are normal (mean 21.7 ml. per second, range 18 to 30).
环形筋膜皮肤阴茎皮瓣起源于阴茎远端，以白膜作为主要血管通道。它无毛，长度可达15厘米，能适应整个前尿道，可用于接受过包皮环切术的男性，为复杂前尿道狭窄的一期重建提供了机会，功能和外观效果良好。该皮瓣用于10例复杂狭窄患者，狭窄长度为8至21厘米：1例8厘米的替代尿道成形术，9例覆盖尿道成形术（其中2例分别使用游离阴茎皮肤移植和膀胱黏膜移植作为补充，以修复18厘米和21厘米的缺损）。所有患者勃起功能正常。无需进行尿道扩张，无狭窄复发（平均随访14.4个月），平均最大尿流率正常（平均每秒21.7毫升，范围为18至30）。
