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KMID : 0358820090360020225
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 2 p.225 ~ p.228
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A Case Report of Hypospadias Repaired by Radial Forearm Free Flap
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Park Sung-Ho
Lee Jong-Wook
Chung Chul-Hoon
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Abstract
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Purpose: Urethral reconstruction following failed hypospadias repair is difficult because of a severe shortage of the skin on ventral surface of the penis. We experienced a successful reconstruction of a failed hypospadias repair using the radial forearm free flap. So we present our case.
Methods: A 16-year-old boy had a proximal shaft hypospadias and had been taken a transverse preputial island flap but it completely broke down. There was no spare skin on the shaft of the penis. So we reconstructed a neo-urethra and the ventral skin of the penis with the radial forearm free flap.
Results: Postoperatively he made relatively good process. The urethral catheter was maintained for 10 days and self-voiding was started. The suprapubic catheter was removed on the postoperative 30th day after control of cystitis. The postoperative appearance of the penis is acceptable and a straight erection is achieved.
Conclusion: In the scarred penis with hypospadias, the radial forearm free flap transfer is a reliable reconstructive method for the neo-urethra and the ventral skin of the penis.
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KEYWORD
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Hypospadias, Radial forearm sensory free flap
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