Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps

Isao Koshima, Yuzaburo Nanba, Atsushi Nagai, Mikiya Nakatsuka, Toshiki Sato, Shigetosi Kuroda

Research output: Contribution to journalArticlepeer-review

48 Citations (Scopus)


The free radial forearm flap is a very common material for penile reconstruction. Its major problems are donor-site morbidity with large depressive scar after skin grafting, urethral fistula due to insufficiency of suture line for the urethra, and need for microvascular anastomosis. A new method using combined bilateral island SCIP flaps for the urethra and penis is developed for gender identity disorder (GID) patients. The advantages of this method are minimal donor-site morbidity with a concealed donor scar, and possible one-stage reconstruction for a longer urethra of 22 cm in length without insufficiency, even for GID female-to-male patients. A disadvantage is poor sensory recovery.

Original languageEnglish
Pages (from-to)137-142
Number of pages6
JournalJournal of Reconstructive Microsurgery
Issue number3
Publication statusPublished - Apr 2006


  • One-stage
  • Penile reconstruction
  • SCIP flap

ASJC Scopus subject areas

  • Surgery


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