Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis

The penile and scrotal skin are often resected after vulvar necrotizing fasciitis, so functional and aesthetic vulvar reconstruction is extremely challenging. With widespread and deepened infections, urethral fistulas can develop, forcing penis and scrotal amputations. In cases complicated with a ur...

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Autores principales: Hihara, Masakatsu, Kihara, Masashi, Mitsui, Toshihito, Kakudo, Natsuko, Kuro, Atsuyuki, Kusumoto, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8390331/
https://www.ncbi.nlm.nih.gov/pubmed/34457237
http://dx.doi.org/10.1093/jscr/rjab363
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author Hihara, Masakatsu
Kihara, Masashi
Mitsui, Toshihito
Kakudo, Natsuko
Kuro, Atsuyuki
Kusumoto, Kenji
author_facet Hihara, Masakatsu
Kihara, Masashi
Mitsui, Toshihito
Kakudo, Natsuko
Kuro, Atsuyuki
Kusumoto, Kenji
author_sort Hihara, Masakatsu
collection PubMed
description The penile and scrotal skin are often resected after vulvar necrotizing fasciitis, so functional and aesthetic vulvar reconstruction is extremely challenging. With widespread and deepened infections, urethral fistulas can develop, forcing penis and scrotal amputations. In cases complicated with a urethral fistula, the wound cannot be treated by simple skin graft surgery, and complicated flap surgery is required. We verified that urethral functional reconstruction using a pedicled thigh flap is a useful technique for managing urethral cutaneous fistulas that develop after necrotizing fasciitis.
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spelling pubmed-83903312021-08-27 Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis Hihara, Masakatsu Kihara, Masashi Mitsui, Toshihito Kakudo, Natsuko Kuro, Atsuyuki Kusumoto, Kenji J Surg Case Rep Surgical Technique The penile and scrotal skin are often resected after vulvar necrotizing fasciitis, so functional and aesthetic vulvar reconstruction is extremely challenging. With widespread and deepened infections, urethral fistulas can develop, forcing penis and scrotal amputations. In cases complicated with a urethral fistula, the wound cannot be treated by simple skin graft surgery, and complicated flap surgery is required. We verified that urethral functional reconstruction using a pedicled thigh flap is a useful technique for managing urethral cutaneous fistulas that develop after necrotizing fasciitis. Oxford University Press 2021-08-26 /pmc/articles/PMC8390331/ /pubmed/34457237 http://dx.doi.org/10.1093/jscr/rjab363 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Surgical Technique
Hihara, Masakatsu
Kihara, Masashi
Mitsui, Toshihito
Kakudo, Natsuko
Kuro, Atsuyuki
Kusumoto, Kenji
Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title_full Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title_fullStr Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title_full_unstemmed Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title_short Urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
title_sort urethral functional reconstruction using a pedicled thigh flap for urethral cutaneous fistula after vulvar necrotizing fasciitis
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8390331/
https://www.ncbi.nlm.nih.gov/pubmed/34457237
http://dx.doi.org/10.1093/jscr/rjab363
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