Total anterior urethral reconstruction with the `BAES flap' in a spinal cord-injured patient

Abstract

Study Design: A case report of urethral destruction in a spinal cord injured (SCI) patient. Objectives: To report the reconstruction of the whole anterior urethra in one-stage using an epilated scrotal¯ap. Setting: Institut Guttmann, Hospital de Neurorehabilitacio , Barcelona, Spain. Methods: A one-stage tubular substitution urethroplasty based on a bi-axial epilated scrotal ap design (`BAES¯ap') was performed successfully. Results: Long-term follow-up of 6 years has con®rmed the excellent adaptation of the¯ap to its urethral function. Conclusion: The bipedicle epilated scrotal¯ap can eectively resolve this challenging urethral pathology. Spinal Cord (2001) 39, 290 ± 292

Urethral Reconstruction in Patients with Neurogenic Bladder Dysfunction

“…A case report from Spain described a spinal cordinjured patient who developed necrotizing fasciitis of the penis after endoscopic sphincterotomy, leading to necrosis of the pendulous and distal bulbar urethra and corpus cavernosum [29]. They described use of substitution urethroplasty with a biaxial epilated scrotal flap, with continued success 6 years postoperatively.…”