Pedicled anterolateral thigh flap for urethral reconstruction in a case of urethrocutaneous fistula with stricture of membranous urethra in a hypospadias cripple

Abstract

Hypospadias is a common congenital anomaly in males and frequently the patient undergoes multiple surgeries and may have complications. The treatment of severe “iatrogenic strictures” presenting in adulthood resulting from childhood hypospadias surgeries continues to be a challenge. The complexity of these cases is increased manifold due to the reasons of delayed presentation of many decades, varying lengths of the stricture, as well as poor healing capacity due to scarred territory from previous surgical attempts and associated complicating factors of renal failure and fistulae. In this paper, a case of reconstruction of a severe urethral stricture in a hypospadias cripple using a pedicled anterolateral thigh flap is reported.

Keywords

• hypospadias
• pedicled anterolateral thigh flap
• phalloplasty
• urethral reconstruction