大量的体重减轻可能会促进阴茎成形术中不可能的皮瓣设计：第一次描述了带蒂的基于scia的管中管皮瓣的设计。

IF 1.5 Q3 SURGERY

JPRAS Open Pub Date : 2024-11-28 DOI:10.1016/j.jpra.2024.11.015

Wouter B. van der Sluis , Brechje L. Ronkes , Mark-Bram Bouman

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引用次数: 0

摘要

阴茎成形术合并尿道延长术是一项复杂的手术，并发症发生率高。病例：一名44岁的变性男性，有乳房切除术、子宫切除术、双侧卵巢切除术、结肠切除术和后乳成形术的手术史，希望行UL阴茎成形术。为了这个手术，他减掉了50公斤的体重。整个腹部皮肤松弛。在左侧腹股沟区设计了一种管中管带蒂的基于scia的皮瓣。术后出现尿道破裂，术后10个月行尿道再管术。在40个月的临床随访中，站立排尿是可能的，尿动力学功能良好。结论：体重大幅度减轻后，皮肤松弛有助于阴茎成形术皮瓣的设计。

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Massive weight loss may facilitate otherwise impossible flap designs in phalloplasty: The first description of a tube-in-tube design of a pedicled SCIA-based flap

Introduction

Phalloplasty with urethral lengthening (UL) is a complex procedure with a high complication rate.

Case

A 44-year-old transgender man with a surgical history of mastectomy, hysterectomy, bilateral oophorectomy, colpectomy and metadoioplasty with UL wished to undergo phalloplasty with UL. He had lost 50 kgs of weight for this procedure. There was substantial skin laxity of the whole abdominal region. A tube-in-tube pedicled SCIA-based flap was designed on the left groin area. The postoperative course was complicated by a dehiscence of the urethra, for which a retubularization was performed 10 months after surgery. At 40 months of clinical follow-up, voiding while standing was possible with good urodynamic function.

Conclusion

After massive weight loss, laxity of skin may facilitate otherwise impossible phalloplasty flap designs for phalloplasty.

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来源期刊

JPRAS Open Medicine-Surgery

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： JPRAS Open is an international, open access journal dedicated to publishing case reports, short communications, and full-length articles. JPRAS Open will provide the most current source of information and references in plastic, reconstructive & aesthetic surgery. The Journal is based on the continued need to improve surgical care by providing highlights in general reconstructive surgery; cleft lip, palate and craniofacial surgery; head and neck surgery; skin cancer; breast surgery; hand surgery; lower limb trauma; burns; and aesthetic surgery. The Journal will provide authors with fast publication times.