One-Stage Microsurgical Phalloplasty using the Free Radial Forearm Osteocutaneous Sensory Flap.
- Author:
Kee Seuk ROH
1
;
Hyung Gyu SOHN
;
Sung Kwang CHUNG
;
Bup Wan KIM
;
Sae Kook CHANG
Author Information
1. Department of Urology, College of Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Phalloplasty;
Radial forearm flap
- MeSH:
Adolescent;
Fistula;
Follow-Up Studies;
Forearm*;
Humans;
Orchiopexy;
Urethra;
Urination
- From:Korean Journal of Urology
1990;31(6):921-927
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed one-stage microsurgical phalloplasty on a 17-year-old male-pseudohermaphroditism patient after bilateral orchiopexy and urethroplasty, using the free radial forearm osteocutaneous sensory flap. The main advantages of this technique are not only the one-stage reconstruction and the satisfactory cosmetic and functional solution, but also the possibility of obtaining normal erogenous and tactile sensibility. One week after the operation, the urethrocutaneous fistula was developed between the native proximal urethra and the constructed neourethra, but seven weeks after the development, it spontaneously healed well. The results of our S-month follow-up are satisfactory in the following respects : 1) satisfactory cosmetic appearance 2) voluntary control of transurethral urination while standing 3) tactile and thermal sensibility. Further follow-up study is necessary for the confirmation of erogenous sensibility, successful sexual life and late complication.
