Total anterior urethral reconstruction with the 'BAES flap' in a spinal cord-injured patient.

STUDY

DESIGN

A case report of urethral destruction in a spinal cord injured (SCI) patient.

OBJECTIVES

To report the reconstruction of the whole anterior urethra in one-stage using an epilated scrotal flap.

SETTING

Institut Guttmann, Hospital de Neurorehabilitació, Barcelona, Spain.

METHODS

A one-stage tubular substitution urethroplasty based on a bi-axial epilated scrotal flap design ('BAES flap') was performed successfully.

RESULTS

Long-term follow-up of 6 years has confirmed the excellent adaptation of the flap to its urethral function.

CONCLUSION

The bipedicle epilated scrotal flap can effectively resolve this challenging urethral pathology.