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J Reconstr Microsurg 2006; 22(3): 137-142
DOI: 10.1055/s-2006-939957
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Penile Reconstruction with Bilateral Superficial Circumflex Iliac Artery Perforator (SCIP) Flaps

Isao Koshima1 , Yuzaburo Nanba2 , Atsushi Nagai2 , Mikiya Nakatsuka2 , Toshiki Sato2 , Shigetosi Kuroda2
  • 1Graduate School of Medicine, University of Tokyo, Japan
  • 2Graduate School of Medicine, Okayama University, Japan
Further Information

Publication History

Accepted: December 1, 2005

Publication Date:
06 July 2006 (online)

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ABSTRACT

The free radial forearm flap is a very common material for penile reconstruction. Its major problems are donor-site morbidity with large depressive scar after skin grafting, urethral fistula due to insufficiency of suture line for the urethra, and need for microvascular anastomosis. A new method using combined bilateral island SCIP flaps for the urethra and penis is developed for gender identity disorder (GID) patients. The advantages of this method are minimal donor-site morbidity with a concealed donor scar, and possible one-stage reconstruction for a longer urethra of 22 cm in length without insufficiency, even for GID female-to-male patients. A disadvantage is poor sensory recovery.

KEYWORDS

Penile reconstruction - SCIP flap - one-stage

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Isao KoshimaM.D. 

University of Tokyo

7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan