Total anterior urethral reconstruction with the 'baes flap' in a spinal cord-injured patient

Abstract

Study Design: A case report of urethral destruction in a spinal cord injured (SCI) patient. Objectives: To report the reconstruction of the whole anterior urethra in one-stage using an epilated scrotal flap. Setting: Institut Guttmann, Hospital de Neurorehabilitació Barcelona, Spain. Methods: A one-stage tubular substitution urethroplasty based on a bi-axial epilated scrotal flap design ('BAES flap') was performed successfully. Results: Long-term follow-up of 6 years has confirmed the excellent adaptation of the flap to its urethral function. Conclusion: The bipedicle epilated scrotal flap can effectively resolve this challenging urethral pathology.