The Island Patch
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Although musculocutaneous skin grafts are now widely used by plastic surgeons, they were introduced to urology by the Leadbetters (1962), Yaxley (1967) and Orandi (1968), who utilised a pedicle of the well- vascularised dartos muscle to transfer an overlying island of scrotal skin into a defect in the urethra. Since there is nearly always an abundance of scrotal skin, and since it is completely lined by dartos, there is no limit to the length or site of the urethral defect that can be enlarged or even completely replaced.
KeywordsUrethral Stricture Urologic Surgery Skin Patch Scrotal Skin Chromic Catgut
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