Reconstruction of a Wide Defect in the Prostatic Urethra after Abdomino-Perineal Amputation Using Buccal Mucosa Free Graft and Pedicled Gracilis Muscle Flap

Author Info

Antonio Taboada-Suárez Beatriz Brea-García Camilo García-Freire Ignacio Vila Ivan Couto González Luís García-Vallejo

Corresponding Author

Ivan Couto González
Plastic and Reconstructive Surgery Department, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain

A B S T R A C T

Lesions with significant substance loss in the prostatic segment of the urethra can represent a reconstructive challenge, especially when peripheral tissues are damaged or poor-vascularized. We present an infrequent clinical case in which a prostatic urethral defect of 2.6cm in length following abdomino-perineal amputation was repaired using a free buccal mucosa graft which was stabilized with a muscular gracilis flap. Complementing the buccal mucosa graft with a well-vascularised support the stability of the graft could be enhanced and the rates of fistula or strictures reduced.

Article Info

Article Type

Case Report

Publication history

Received: Tue 12, May 2020
Accepted: Mon 25, May 2020
Published: Mon 01, Jun 2020

Copyright

© 2023 Ivan Couto González. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.06.02