Reconstruction of distal urethra with labia majora fasciocutaneous flap in 9 cases

VernacularTitle:应用大阴唇筋膜皮瓣行尿道远端重建九例临床分析
Author: Yingzhai LI ; Xuejun CHEN ; Shifeng NIE ; Ruixia ZHAO ; Sen MA ; Sanzhong WANG
Publication Type:Journal Article
Keywords: Urologic surgical procedures; Urethra
From: Chinese Journal of General Practitioners 2011;10(2):138-139
CountryChina
Language:Chinese
Abstract: Nine female patients underwent resection of the middle and distal urethra and the urethra was reconstructed with labia majora fasciocutaneous flap.During the operation the bilateral inner side partial flap of labia majora was taken,and penetrated through the tunnel under the labia minora to the urethral incision,then the flap was sutured as tube-shaped and anastomosed with the urethral incision to reconstruct the urethra.Patients were followed-up for up to 11 years,all patients had normal urination,except 1 patient with adenocarcinoma who developed urinary incontinence 1 month after operation and recovered by pelvic floor muscle training.The application of labia majora fasciocutaneous flap is a safe and effective procedure with less trauma and fewer complications in reconstruction of female middle and distal urethra.