A UNIQUE FASCIOCUTANEOUS FLAP FOR POSTERIOR URETHRAL REPAIR

The anatomic restrictions produced by male to female gender reassignme nt surgery necessitated a new surgical solution to treat a traumatic p osterior urethral stricture. Aesthetic considerations were of paramoun t importance to the patient. A unique use of the pudendal thigh fascio cutaneous flap is presented which satisfied the reconstructive needs o f well-vascularized tissue for reconstruction of the posterior urethra l segment, and addressed the patient's aesthetic concerns. Correction of the posterior urethral stricture was successful, and the flap donor site inconspicuous. This procedure has not been described previously for urethral reconstruction and is an additional regional source of va scularized tissue for urethral repair.