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7-Flap Perineal Urethrostomy

The 7-flap perineal urethrostomy uses multiple local perineal skin flaps, arranged in a seven-flap pattern, to create a wide, stable perineal stoma without tension. The design distributes wound closure lines to minimize contracture and achieve a durable, funnel-shaped meatus. It is particularly useful in perineal reconstructions requiring large amounts of local tissue mobilization.

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. French D, Hudak SJ, Morey AF. "The '7-flap' perineal urethrostomy." Urology. 2011;77(6):1487–9. PMID: 21256550
  2. Barbagli G, Lazzeri M. "Perineal urethrostomy." In: Chapple C, Barbagli G, Jordan G, eds. Urethral Reconstructive Surgery. Springer, Berlin; 2008:165–70.