【摘 要】
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BACKGROUND Phalloplasty poses the most challenge for plastic surgeons.Construction of a neourethra is always considered to be a difficult part in phalloplasty on account of the high incidence of fistu
【机 构】
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上海第二军医大学附属长征医院整形外科
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BACKGROUND Phalloplasty poses the most challenge for plastic surgeons.Construction of a neourethra is always considered to be a difficult part in phalloplasty on account of the high incidence of fistulas and strictures.None methods have become standanlized.METHODS We have performed one case of total penile reconstruction with a prefabricated anterolateral thigh flap in a one-armed patient.For the preconstruction of the pars pendulans urethrae, the tubed graft of ileum mucosa was buried in the left anterolateral thigh.During the second stage, the actual phalloplasty was then done with the prefabricated anterolateral thigh flap and an autogenous costal cartilage graft was used as a stent for reinforcement five months later.RESULTS The reconstructed penis survived completely and allowed the patient to urinate while standing.The patient was followed for 12 months, no complications developed.The neophallus was 10 cm in length and 3.5 cm in diameter.The patient feel satisfied with the postoperative appearance and function of the neophallus.CONCLUSIONS We introduce a novel method of urethral prefabrication using a tubed graft of ileum mucosa for phalloplasty.Our preliminary result deserves further study.
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