Long Segment Urethral Reconstruction Using a Prefabricated Hairless Groin Skin Flap Based on the Descending Branch of Lateral Circumflex Femoral Artery

Abstract Congenital or acquired anomalies of the penis can lead to significant physical and psychological problems in a patient. Goals of urethral reconstruction is to create a functional meatus with a patent tube for micturition and ejaculation. In a patient with penoscrotal hypospadias we reconstructed 13 cm length of the urethra using a two-stage procedure. In the first stage, we prefabricated a flap using the hairless groin skin with the descending branch of the lateral circumflex femoral artery. In the second stage, the flap was transposed and tubed to create the neourethra. Long segment urethral reconstruction using prefabricated hairless groin skin flap based on the descending branch of lateral circumflex femoral artery is a new technique of near-total urethral reconstruction to the best of our knowledge and can be used to treat difficult cases of urethral reconstruction for varied indications, giving us a simple and innovative technique in reconstructive armamentarium.