Laminated Gracilis Flap Urethroplasty
The laminated gracilis flap technique combines a split-thickness skin graft or oral mucosal graft laminated onto the surface of the gracilis muscle to create a composite flap for urethral reconstruction. The muscle provides vascular support for the epithelial lining layer in complex cases where local tissue is insufficient. This approach is reserved for salvage situations such as radiation-damaged tissue beds or major fistula repair.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Zinman LN. "The management of the complex urethral stricture." AUA Update Series. 1997;16(Lesson 14):106–11.
- Spilotros M, Simonato A, Gacci M, Masieri L. "Gracilis flap urethroplasty repair for radiation-induced urethral strictures: a contemporary series." Urology. 2018;116:191–5. PMID: 29438707