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Singapore Flap Urethroplasty

The Singapore flap, originally described for vaginal reconstruction, uses a pedicled fasciocutaneous island from the medial thigh based on the posterior labial or perineal perforators. When applied to urethral reconstruction, it provides a robust, well-vascularized segment of hairless skin suitable for complex perineal urethral defects. It is particularly valuable in cases requiring simultaneous urethral and perineal soft tissue reconstruction.

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. Wee JT, Joseph VT. "A new technique of vaginal reconstruction using neurovascular pudendal-thigh flaps: a preliminary report." Plast Reconstr Surg. 1989;83(4):701–9. PMID: 2648186
  2. Woods JE, Alter G, Meland B, Podratz K. "Experience with vaginal reconstruction utilizing the modified Singapore flap." Plast Reconstr Surg. 1992;90(2):270–4. PMID: 1631220