척골측 전완부 감각유리 피판술을 이용한 요도협착의 치료

Treatment of Urethral Stricture using Sensated Ulnar Forearm Free Flap

  • 허재영 (연세대학교 의과대학 성형외과학교실) ;
  • 이훈범 (연세대학교 의과대학 성형외과학교실) ;
  • 탁관철 (연세대학교 의과대학 성형외과학교실)
  • Hur, Jae-Young (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Hoon-Bum (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Tark, Kwan-Chul (Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
  • 발행 : 2001.10.31

초록

In the treatment of urethral stricture, many problems still remain with the current methods making it a field of further exploration for reconstructive surgeon. Furthermore, when total or multiple strictures of the penile urethra exist, the methods of surgery become difficult due to a necessity for a long neourethra. Introduction of vascularized free flap has broadened the choice and improved the results of reconstruction for the urethra. The authors used a sensate ulnar forearm free flap in a patient with multiple penile urethral strictures for reconstruction. Uroflowmetry, 30 months after surgery, revealed that maximal flow rate was 15.5 ml/sec, average flow rate was 9.5 ml/sec, and voided volume was 157 ml. A urethrogram was performed 30 months postoperatively and a good result was achieved. The ulnar forearm free flap used by the authors are thin and pliable and is good for providing sufficient length to reconstruct the neourethra for a long urethral defect.

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