Gracilis Muscular Flap for Large Urethral Defect
Yuichiro Yoshioka, Shigeaki Moriura, Hiroshi Yuba, Atsushi Hirano, Ryohei Hattori
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DOI: 10.4236/ss.2011.29100   PDF    HTML     4,360 Downloads   7,128 Views  

Abstract

We report the use of Gracilis muscle to repair a large urethral defect. A 57-year-old-man with rectal cancer underwent abdominoperineal resection including part of the prostate and seminal vesicle. Soon after surgery, he presented with massive urinary leakage from the prostatic urethra. Conservative treatment for one month failed. The defect of the prostatic urethra, measuring 2.5 cm in diameter, was closed with the right gracilis muscular flap. About five years and 6 months after surgery, the patient can void spontaneously without incontinence. Cystoscopy demonstrated good epithelization of the reconstructed urethra without stenosis. The gracilis muscular flap was easily available and useful for closure of a large urethral defect.

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Y. Yoshioka, S. Moriura, H. Yuba, A. Hirano and R. Hattori, "Gracilis Muscular Flap for Large Urethral Defect," Surgical Science, Vol. 2 No. 9, 2011, pp. 456-458. doi: 10.4236/ss.2011.29100.

Conflicts of Interest

The authors declare no conflicts of interest.

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