Fasciocutaneous Ventral Penile Transverse Island Flap
This fasciocutaneous flap harvests a transverse island of ventral penile skin with its underlying dartos fascia and subcutaneous vascular pedicle for reconstruction of meatal or fossa navicularis stenosis. The pedicled island can be transposed to the glans to create a neomeatus or widen the distal urethra. Its robust vascularity makes it a reliable one-stage option for distal urethral stenosis associated with lichen sclerosus when local glans tissue is insufficient.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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References
- Jordan GH, Schlossberg SM. "Surgery of the penis and urethra." In: Walsh PC, ed. Campbell's Urology. 7th ed. Philadelphia: WB Saunders; 1998:3316–94.
- McAninch JW, Morey AF. "Penile circular fasciocutaneous skin flap in 1-stage reconstruction of complex anterior urethral strictures." J Urol. 1998;159(4):1209–13. PMID: 9507836