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Propeller Flap Urethroplasty

The propeller flap is a perforator-based fasciocutaneous flap harvested from the perineum or inner thigh that rotates around a single perforator vessel to reach the urethral defect. This technique avoids large donor-site wounds and provides pliable, well-vascularized tissue for urethral reconstruction in complex or recurrent cases. It is particularly useful when conventional penile or buccal mucosal options have been exhausted.

Indications

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Technique Overview

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Key Steps

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Outcomes & Evidence

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References

  1. Teo TC. "The propeller flap concept." Clin Plast Surg. 2010;37(4):615–26. PMID: 20816513
  2. Gir P, Cheng A, Oni G, Mojallal A, Saint-Cyr M. "Pedicled-perforator (propeller) flaps in reconstructive surgery: a systematic review of indications, harvest techniques, and outcomes." J Reconstr Microsurg. 2012;28(6):381–8. PMID: 22623162