Abstract
You have accessJournal of UrologyLower Tract Reconstruction (V10)1 Sep 2021V10-07 URETHROPLASTY WITH ILEAL FREE FLAP Alice Drain, Nabeel Shakir, Jordan Frey, Min Suk Jun, Jamie Levine, and Lee Zhao Alice DrainAlice Drain More articles by this author , Nabeel ShakirNabeel Shakir More articles by this author , Jordan FreyJordan Frey More articles by this author , Min Suk JunMin Suk Jun More articles by this author , Jamie LevineJamie Levine More articles by this author , and Lee ZhaoLee Zhao More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002061.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Salvage urethroplasty of a recurrent urethral stricture presents a technical challenge. Our objective is to present the evaluation, surgical approach and outcomes of urethral reconstruction with ileal free flap. METHODS: We present a 35 year old male with obliterative stricture which was repaired with ileal free flap urethroplasty. The patient had previously undergone multiple endoscopic and open attempts including excision and primary anastomosis, buccal mucosa, gracilis flap and split thickness skin flap and perineal urethrostomy with recurrence. Reconstruction with ileal free flap was performed with success. The medical record and intraoperative photographs and video were reviewed to create this presentation. RESULTS: Urethroplasty with ileal free flap was successfully performed. At seven months post-operatively the patient reported normal erections and strong stream with low post void residual. CONCLUSIONS: Reconstruction of extensive urethral stricture after failed endoscopic and open attempts can be successfully accomplished with the use of an ileal free flap urethroplasty. Source of Funding: No funding © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e757-e757 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alice Drain More articles by this author Nabeel Shakir More articles by this author Jordan Frey More articles by this author Min Suk Jun More articles by this author Jamie Levine More articles by this author Lee Zhao More articles by this author Expand All Advertisement Loading ...
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