Summary
For refractory urethral strictures and fistulas with compromised vascularity and multiple failed previous procedures, salvage methods for successful reconstruction require tissue transfer of muscle-assisted skin and buccal graft composites, such as with the gracilis muscle flap, the perineal artery —medial thigh —fasciocutaneous flap, and the inferior gluteus maximus muscle flap. Such extragenital axial flaps are reliable and suitable for local genital skin substitution. These muscle flap composites are relatively simple in design, easy to harvest and transfer, possess reliable vascular and cutaneous landmarks, and can be mobilized to the perineum without tension or significant donor site morbidity.
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© 2008 Humana Press, a part of Springer Science + Business Media, LLC
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Zinman, L.N. (2008). The Combined Use of Fasciocutaneous, Muscular and Myocutaneous Flaps and Graft Onlays in Urethral Reconstruction. In: Brandes, S.B. (eds) Urethral Reconstructive Surgery. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-103-1_16
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DOI: https://doi.org/10.1007/978-1-59745-103-1_16
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