Tissue Transfer (GU Applications)
Tissue transfer is the cross-cutting toolkit that every reconstructive operation borrows from: free grafts, pedicled flaps, and free tissue transfer adapted to genitourinary defects. This atlas is a filterable index of flap and graft options by GU recipient site and indication; clicking an entry goes to the authoritative page in Foundations, where the donor anatomy, harvest, and general-surgical technique live as single-source-of-truth.
How this section relates to Foundations
The named-technique articles (gracilis, VRAM, radial forearm, buccal mucosa, STSG, etc.) live under Foundations — Flaps in GU Reconstruction and Foundations — Grafts in GU Reconstruction. This atlas page is a pointer-database organized by GU recipient site and indication so you can look up "what flap covers a radiated perineum" or "what graft replaces a panurethral stricture" without first deciding whether you want a flap or a graft.
26 of 26 techniques
| Technique | Type | GU Recipient Site | Indication |
|---|---|---|---|
| Gracilis Muscle Flap | Flap | Perineum / Pelvis | RUF / RVF / UPF / complex fistula interposition, perineal dead-space obliteration |
| Omental Flap | Flap | Abdomen / Pelvis | VVF / high fistula interposition, pelvic dead-space obliteration, irradiated beds |
| VRAM Flap | Flap | Perineum / Pelvis / Vaginal | Perineal reconstruction after APR / pelvic exenteration, neovagina creation |
| Vastus Lateralis Flap | Flap | Perineum / Groin | Large groin / perineal defects, Fournier's reconstruction when gracilis is unavailable |
| Peritoneal Flap | Flap | Pelvis / Bladder / Ureter | Robotic vesicovaginal and ureterovaginal fistula interposition, ureteral coverage |
| Martius Labial Fat-Pad Flap | Flap | Vagina / Perineum | Transvaginal VVF / urethrovaginal / RVF interposition, urethral diverticulum coverage |
| Labia Majora Fasciocutaneous Flap | Flap | Vulva / Vagina / Perineum | Vulvar reconstruction after oncologic resection, vaginal defects, perineal coverage |
| Singapore Pudendal-Thigh Flap | Flap | Vagina / Perineum | Neovaginal lining and perineal coverage, Mayer-Rokitansky and post-exenteration reconstruction |
| Penile-Preputial Flap | Flap | Urethra / Penis | Penile-urethral stricture onlay, hypospadias reconstruction |
| Blandy Scrotal Flap | Flap | Perineum / Urethra | Perineal urethrostomy maturation, scrotal coverage |
| Radial Forearm Free Flap | Flap | Neophallus / Urethra | Phalloplasty — RFF with tube-in-tube urethra |
| Anterolateral Thigh (ALT) Flap | Flap | Neophallus / Perineum | Phalloplasty ALT option, perineal / groin reconstruction |
| SCIP Flap | Flap | Neophallus / Perineum | Superficial circumflex iliac perforator flap — lower-morbidity phalloplasty alternative |
| Medial Thigh Flap | Flap | Scrotum / Perineum | Scrotal reconstruction, Fournier's coverage |
| PMTP Propeller Flap | Flap | Perineum / Groin | Perforator-based propeller flap for perineal / groin defects |
| Y-V Plasty | Flap | Meatus / Skin | Meatal advancement, scar revision, tension-releasing closure |
| Buccal Mucosa Graft | Graft | Urethra / Ureter | Urethroplasty (ventral, dorsal, inlay), ureteroplasty onlay, graft-augmented bladder-neck reconstruction |
| Lingual Mucosa Graft | Graft | Urethra | Urethroplasty when buccal is not preferred (dental disease, prior harvest) or for longer panurethral segments |
| Labial Mucosa Graft | Graft | Urethra | Alternative oral mucosa source when buccal is unavailable |
| Split-Thickness Skin Graft (STSG) | Graft | Penis / Scrotum / Perineum | Buried-penis shaft resurfacing, post-Fournier's coverage, phalloplasty donor-site |
| Full-Thickness Skin Graft (FTSG) | Graft | Penis / Glans | Glans resurfacing, small penile shaft defects, meatal reconstruction |
| Penile-Preputial Skin Graft | Graft | Urethra / Penis | Pediatric hypospadias, adult penile-urethral reconstruction when prepuce is available |
| Posterior Auricular Graft | Graft | Urethra | Select panurethral or salvage urethroplasty graft source |
| Intestinal Segments | Graft | Ureter / Bladder | Ileal ureter substitution, bladder augmentation, urinary diversion reservoir |
| Bladder Mucosa Graft | Graft | Urethra | Salvage urethroplasty graft source when oral mucosa is unavailable |
| Saphenous Vein Graft | Graft | Corpora / Vascular | Penile corporal vein grafting, vascular reconstruction |
See also
- Flaps in GU Reconstruction — general flap principles, named-flap atlas, harvest, pedicle anatomy, donor-site morbidity.
- Grafts in GU Reconstruction — general graft principles, graft-bed biology, mucosal / skin / specialty grafts.
- Plastic Surgery Principles — reconstructive ladder.
- Radiation & Tissue Effects — hostile-bed decision-making.
- Wound Healing Adjuncts — NPWT, Prevena, ADM, amniotic membrane.