Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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A Case Report of Hypospadias Repaired by Radial Forearm Free Flap

요측전완유리피판을 이용한 요도하열의 교정 1례 보고

  • Park, Sung Ho (Department of Plastic and Reconstructive Surgery College of Medicine, Hallym University) ;
  • Chung, Chul Hoon (Department of Plastic and Reconstructive Surgery College of Medicine, Hallym University) ;
  • Lee, Jong wook (Department of Plastic and Reconstructive Surgery College of Medicine, Hallym University)
  • 박성호 (한림대학교 의과대학 강동성심병원 성형외과) ;
  • 정철훈 (한림대학교 의과대학 강동성심병원 성형외과) ;
  • 이종욱 (한림대학교 의과대학 강동성심병원 성형외과)
  • Published : 2009.03.15
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Abstract

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 at 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.

Keywords

References

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