TY - JOUR
AR - SCR-2020-6-102
TI - Reconstruction of a Wide Defect in the Prostatic Urethra after Abdomino-Perineal Amputation Using Buccal Mucosa Free Graft and Pedicled Gracilis Muscle Flap
AU - Antonio , Taboada-Suárez
AU - Beatriz , Brea-García
AU - Camilo , García-Freire
AU - Ignacio , Vila
AU - Ivan Couto, González
AU - Luís , García-Vallejo
JO - Surgical Case Reports
PY - 2020
DA - Mon 01, Jun 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.06.02
UR - https://www.sciencerepository.org/reconstruction-of-a-wide-defect-in-the-prostatic-urethra-after-abdomino-perineal_SCR-2020-6-102 
KW - Urethral reconstruction, gracilis muscle, buccal mucosa, abdomino-perineal amputation, fistulae
AB - 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.