Download PDF
J Reconstr Microsurg 2005; 21(3): 153-156
DOI: 10.1055/s-2005-869819
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Treatment of Urethral Stricture in a Female-to-Male Transsexual with a Tubulized Flap from the Labia Minora

Pedro C. Cavadas1 , Luis Landin1
  • 1Division of Reconstructive and Hand Surgery, Centro de Rehabilitación de Levante, Valencia, Spain
Further Information

Publication History

Accepted: October 5, 2004

Publication Date:
06 May 2005 (online)

Also available at
    Permissions and Reprints

ABSTRACT

Urethral strictures are not uncommon after microvascular phalloplasty in female-to-male transsexuals, and usually are secondary to technical errors or vascular complications. A case of a female-to-male transsexual with recalcitrant urethral stricture after microvascular phalloplasty is reported. After one unsuccessful attempt at direct repair and a failed grafting procedure, a tubulized island flap from the remnants of the labia minora was successfully used to reconstruct the urethral stenosis. Current options for treatment of urethral stenoses in female-to-male transsexuals are discussed.

KEYWORDS

Urethral stenosis - transsexual surgery - complications in phalloplasty

REFERENCES

  • 1 Fang R H, Kao Y S, Ma S, Lin J T. Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases.  Br J Plast Surg. 1999;  52 217-22
    CrossrefPubMedSearch in Google Scholar
  • 2 Fang R H, Lin J T, Ma S. Phalloplasty for female transsexuals with sensate free forearm flap.  Microsurgery. 1994;  15 349-352
    CrossrefPubMedSearch in Google Scholar
  • 3 Matti B A, Matthews R N, Davies D M. Phalloplasty using the free radial forearm flap.  Br J Plast Surg. 1988;  41 160-164
    CrossrefPubMedSearch in Google Scholar
  • 4 Biemer E. Penile construction by the radial arm flap.  Clin Plast Surg. 1988;  15 425-430
    CrossrefPubMedSearch in Google Scholar
  • 5 Levine L A, Elterman L. Urethroplasty following total phallic reconstruction.  J Urol. 1998;  160 378-382
    CrossrefPubMedSearch in Google Scholar
  • 6 Barbagli G, Palminteri E, Lazzeri M, Guazzoni G. One-stage circumferential buccal mucosa graft urethroplasty for bulbous stricture repair.  Urology. 2003;  61 452-455
    CrossrefPubMedSearch in Google Scholar
  • 7 Wessells H, McAninch J W. Current controversies in anterior urethral stricture repair: free-graft versus pedicled skin-flap reconstruction.  World J Urol. 1998;  16 175-180
    CrossrefPubMedSearch in Google Scholar
  • 8 Mundy A R. Urethral substitution in women.  Br J Urol. 1989;  63 80-83
    PubMedSearch in Google Scholar
  • 9 Falandry L, Xie D, Liang Z, Seydou M, Alphonsi R. Utilization of a pedicled labial flap single or double faced, for the treatment of post-obstetric urethral damage.  J Gynecol Obstet Biol Reprod (Paris). 1999;  28 151-161
    PubMedSearch in Google Scholar
  • 10 Tanello M, Frego E, Simeone C, Cosciani Cunico S. Use of pedicle flaps from the labia minora for the repair of female urethral strictures.  Urol Int. 2002;  69 95-98
    PubMedSearch in Google Scholar

Pedro C CavadasM.D. Ph.D. 

Temple 5, 2

46003 Valencia, Spain