The use of gracilis muscle flap as a cover of tabularized buccal mucosal graft in the posterior urethral injury

We describe the use of gracilis muscle flap as support and cover for buccal mucosal graft which has been used for the repair of the posterior urethral injury. On removal of Foley's catheter after 3 weeks of the surgery, there was no leakage of urine from the perineal wound, and the patient was continent. The highly vascularized muscle flap is beneficial in patients with a poor graft bed secondary to prior radiotherapy, avoiding urinary diversion in most patients.

Source: Urology Annals - April 13, 2020 Category: Urology & Nephrology Authors: Sandesh Vithal Parab Gaurav Goyal Sudarshan Jadhav Hemant Pathak Mukund Andankar Chetan Gadekar Source Type: research