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McAninch Transverse Circular Penile Skin Flap

The McAninch flap harvests a transverse circular segment of non-hairbearing penile shaft skin on a dorsal pedicle to reconstruct long-segment penile or bulbar urethral strictures. The flap's axial blood supply via the superficial penile fascia provides reliable vascularity for one-stage repair. This technique is particularly valuable when buccal mucosa is insufficient or unavailable.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

  1. 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: 9507838
  2. 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.