Quality of life after penile reconstruction using the radial forearm flap in adult bladder exstrophy patients - technique and outcomes

Background:  Patients who have undergone reconstruction of bladder extrophy can have an extremely short penis, which can be functionally and psychologically debilitating. Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appeara...

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Veröffentlicht in:ANZ journal of surgery 2011-01, Vol.81 (1-2), p.52-55
Hauptverfasser: Ricketts, Sophie, Hunter-Smith, David James, Coombs, Christopher John
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container_issue 1-2
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container_title ANZ journal of surgery
container_volume 81
creator Ricketts, Sophie
Hunter-Smith, David James
Coombs, Christopher John
description Background:  Patients who have undergone reconstruction of bladder extrophy can have an extremely short penis, which can be functionally and psychologically debilitating. Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appearance and sexual function. Quality of life after penile reconstruction is an important outcome measure in evaluation of the procedure. Methods:  We describe five patients who underwent total penile reconstruction with radial forearm free flaps and interview them with a quality of life questionnaire. Results:  Responses were overwhelmingly positive with regard to improved self‐image as well as sexual function. Conclusions:  This series supports the overwhelmingly positive change in quality of life to be gained with radial forearm free flap penile reconstruction for patients with an extremely short native penis in the adult exstrophy patient.
doi_str_mv 10.1111/j.1445-2197.2010.05482.x
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Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appearance and sexual function. Quality of life after penile reconstruction is an important outcome measure in evaluation of the procedure. Methods:  We describe five patients who underwent total penile reconstruction with radial forearm free flaps and interview them with a quality of life questionnaire. Results:  Responses were overwhelmingly positive with regard to improved self‐image as well as sexual function. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Bladder
bladder exstrophy
Bladder Exstrophy - surgery
Body Image
Congenital diseases
Forearm
Free Tissue Flaps - adverse effects
Humans
Male
Men
Penis - surgery
phalloplasty
Plastic surgery
Quality of Life
radial forearm flap
Sexuality
Surgical techniques
Urogenital system
title Quality of life after penile reconstruction using the radial forearm flap in adult bladder exstrophy patients - technique and outcomes
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