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Lone Star Retractor System

The Lone Star (Lone Star Medical Products / CooperSurgical) is a disposable elastic-stay retractor system — a flexible plastic ring with a series of small elastic stays (hooks) anchored at any point around the ring to retract tissue edges.

Design​

  • Flexible plastic ring (available in multiple sizes)
  • Elastic stays with small hooks — clip to tissue edges
  • Infinitely repositionable — stays can be moved mid-case without breaking scrub
  • Atraumatic — elastic tension distributes force over the hook contact point, less crushing than metal blades

Why It Became the Reconstructive Workhorse​

Three advantages drove its adoption across reconstructive urology:

  1. Infinite adjustability of retraction angles — impossible with traditional bladed retractors
  2. Atraumatic elastic stays compared with metal retractor blades, critical for delicate tissue (urethral plate, vaginal wall, penile skin)
  3. Intraoperative repositioning without re-setup when the operative focus shifts

Key Uses​

  • Bulbar urethroplasty — perineal skin retraction
  • Perineal urethrostomy
  • Vesicovaginal fistula repair
  • Vaginal prolapse repair
  • Hypospadias repair — delicate penile skin handling
  • Phalloplasty harvest and insetting
  • Scrotoplasty and perineoplasty
  • Any perineal or vaginal reconstruction

See also: Perineal Bookwalter (Jordan).