Arch Plast Surg.  2012 May;39(3):253-256. 10.5999/aps.2012.39.3.253.

A Case of Urethral Reconstruction Using a Superficial Circumflex Iliac Artery

• Yoo KW
• Shin HW
• Lee HK

• KMID: 2120670
• DOI: http://doi.org/10.5999/aps.2012.39.3.253

Abstract

A radial forearm free flap has been conventionally used for urethral reconstruction. However, aesthetic and functional complications occur frequently at the donor site. The use of a superficial circumflex iliac artery perforator (SCIP) flap can resolve these disadvantages. Here, we report our case with a review of literature. A 69-year-old man visited our hospital with multiple contusions of the abdomen and genital amputation. After necrotic tissue debridement, the length of the residual corpus carvernosum was 1.5 cm and that of the corpus spongiosum and urethra was 1 cm. For the reconstruction of the penis, a SCIP flap and anterolateral thigh free flap was performed. The primary closure was performed at the donor site. Three weeks postoperatively, the patient had a urethral foley catheter removed. The neourethra was functioning well without stricture. Four months postoperatively, the patient had no complications such as urethral stricture. A good recovery was also achieved with no aesthetic deficits at the donor site. SCIP flap is appropriate for urethral reconstruction. Because of its proximity to the recipient sites, it makes surgical preparation easier and the primary closure at the donor site available. It is also advantageous in that its location is almost unnoticeable.

Keyword

Urethra; Skin transplantation; Free tissue flaps

MeSH Terms

Abdomen
Aged
Amputation
Catheters
Constriction, Pathologic
Contusions
Debridement
Forearm
Free Tissue Flaps
Humans
Iliac Artery
Male
Penis
Skin Transplantation
Thigh
Tissue Donors
Urethra
Urethral Stricture