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

Isao Koshima; Yuzaburo Nanba; Atsushi Nagai; Mikiya Nakatsuka; Toshiki Sato; Shigetosi Kuroda

doi:10.1055/s-2006-939957

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2006; 22(3): 137-142
DOI: 10.1055/s-2006-939957

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

Abstract

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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References

REFERENCES

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Isao KoshimaM.D.

University of Tokyo

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