SS  Vol.2 No.9 , November 2011
Gracilis Muscular Flap for Large Urethral Defect
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.
Cite this paper: nullY. 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.

[1]   D. D. Morehouse, P. Belitsky and K. Mackinnon, “Rupture of the Posterior Urethra,” Journal of Urology, Vol. 107, No. 2, 1972, pp. 255-258.

[2]   M. Beckenstein, A. A. Smith, K. Dinchman, J. Wyatt-Ashmead and N. B. Meland, “Muscle Flap Reconstruction Aids in Urethral Regeneration,” Annals of Plastic Surgery, Vol. 36, No. 6, 1996, pp. 641-643. doi:10.1097/00000637-199606000-00014

[3]   B. R. Lane, D. E. Stein, F. H. Remzi, S. A. Strong, V. W. Fazio and K. W. Angermeier, “Management of Radiotherapy Induced Rectourethral Fistula,” Journal of Urology, Vol. 175, No. 4, 2006, pp. 1387-1388. doi:10.1016/S0022-5347(05)00687-7

[4]   M. Orticochea, “A New Method of Total Reconstruction of the Penis,” British Journal of Plastic Surgery, Vol. 25, No. 4, 1972, pp. 347-366. doi:10.1016/S0007-1226(72)80077-8

[5]   J. B. McCraw, F. M. Massey, K. D. Shanklin and C. E. Horton, “Vaginai Reconstruction with Gracilis Myocutaneous Flaps” Plastic and Reconstructive Surgery, Vol. 58, No. 2, 1976, pp. 176-183. doi:10.1097/00006534-197608000-00006

[6]   R. H. Frederick, “Gracilis Myocutaneous and Muscle Flap,” Clinics in Plastic Surgery, Vol. 7, No. 1, 1980, pp. 27-44.