article = {SCR-2020-6-102} title = {Reconstruction of a Wide Defect in the Prostatic Urethra after Abdomino-Perineal Amputation Using Buccal Mucosa Free Graft and Pedicled Gracilis Muscle Flap} journal = {Surgical Case Reports} year = {2020} issn = {2613-5965} doi = {http://dx.doi.org/10.31487/j.SCR.2020.06.02} url = {https://www.sciencerepository.org/reconstruction-of-a-wide-defect-in-the-prostatic-urethra-after-abdomino-perineal_SCR-2020-6-102 author = {Antonio Taboada-Suárez,Beatriz Brea-García,Camilo García-Freire,Ignacio Vila,Ivan Couto González,Luís García-Vallejo,} keywords = {Urethral reconstruction, gracilis muscle, buccal mucosa, abdomino-perineal amputation, fistulae} abstract ={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.}