Journal of Pediatric Urology
Volume 5, Issue 3 , Pages 197-204 , June 2009

Histological evaluation of an alternative method of neophalloplasty based on two lower abdominal skin flaps and simultaneous buccal mucosa graft in the ventral surface of the neophallus (two-stage urethroplasty): Experimental study in rabbits

  • Luiz Luna Barbosa

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Sérgio Leite Ottoni

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Márnio Sollerman da Costa

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Petrus Oliva de Souza

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Paulo Sérgio Venerando da Silva

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Rosana Delcelo

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Valdemar Ortiz

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • ,
  • Roberto de Castro

      Affiliations

    • Ospedale Maggiore, Bologna, Italy
    • ,
  • Antônio Macedo Júnior

      Affiliations

    • Division of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560 cj. 215, 01323-000 São Paulo, Brazil
    • Corresponding Author InformationCorresponding author. Tel.: +55 11 32870639; fax: +55 11 32873954.

Received 20 October 2008 ,Accepted 26 October 2008.

References 

  1. Bahlburg-Meyer HFL. Gender identity outcome in female-raised 46, XY persons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation. Arch Sex Behav. 2005;34:423
  2. Coquet-Reiner B, Merrot T, Chaumoître K, Alessandrini P. Atypical aphalia. Pediatr Surg Int. 2007;23:1131
  3. de Castro R, Merlini E, Rigamonti W, Macedo A. Phalloplasty and urethroplasty in children with penile agenesis: preliminary reports. J Urol. 2007;177:1112–1116
  4. Yamada G, Satoh Y, Baskin LS, Cunha GR. Cellular and molecular mechanisms of the external genitalia. Differentiation. 2003;71:445
  5. Reiner WG. Gender identity and sex-of-rearing in children with disorders of sexual differentiation. J Pediatr Endocrinol Metab. 2005;18:549
  6. Chibber PJ, Shah HN, Jain P, Yadav P. Male gender assignment in aphallia: a case report and review of the literature. Int Urol Nephrol. 2005;37:317
  7. Hu ZQ, Hyakusoku B, Gao JH, Aoki R, Ogawa R, Yan X. Penis reconstruction using three different operative methods. Br J Plast Surg. 2005;58:487
  8. Veselý J, Stupka I, Molitor M, Hyza P. A variety of methods for penile reconstruction. Eur J Plast Surg. 2002;25:292
  9. Chang TS, Hwang WY. Forearm flap in one-stage reconstruction of the penis. Plast Reconstr Surg. 1983;17:251
  10. Akoz T, Erdogãn B, Gorgu M, Kapucu MR, Kargi E. Penile reconstruction using a double vascular pedicle composite groin flap. Scand J Urol Nephrol. 2007;32:225
  11. Mokhless IA, Kader MA, Youssef M. The multistage use of buccal mucosa grafts for complex hypospadias: histological changes. J Urol. 2007;177:1496
  12. Snodgrass W, Elmore J. Initial experience with staged buccal graft (Bracka) hypospadias reoperations. J Urol. 2004;172:1720
  13. Rubin E. Lesão cellular. [Cell lesion] In:  Rubin E editors. Rubin's pathology. Rio de Janeiro: Guanabara Koogan; 2007;p. 8

PII: S1477-5131(08)00437-3

doi: 10.1016/j.jpurol.2008.10.011

Journal of Pediatric Urology
Volume 5, Issue 3 , Pages 197-204 , June 2009

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