Emergence of Genitourinary Reconstruction and Principlesof Flaps in Urology
Seance of wednesday 23 september 2026 (L'Académie reçoit l'Association Française d'Urologie "AFU" : Les lambeaux en urologie reconstructrice)
DOI number : 10.26299/g0w7-w115/emem.2026.39.01
Abstract
Genitourinary reconstruction encompasses a range of surgical techniques aimed at restoring the anatomy and function of the urinary tract and genital organs. Historically developed around the management of urethral strictures, the field has progressively expanded to include urinary fistulas, congenital abnormalities, tissue defects and sequelae of oncological or radiation treatments, as well as penile and, more broadly, genital reconstruction.
Flaps provide vascularized tissue for reconstruction, coverage, or interposition when local tissues are insufficient or compromised. Their vascular supply, tissue composition, and mode of transfer determine their potential applications. Flap selection therefore relies on matching the available tissue to the defect and the function to be restored: bringing the right tissue to the right place to restore the right function. These general principles introduce the different flaps and their applications in urological reconstruction presented during this session.
Flaps provide vascularized tissue for reconstruction, coverage, or interposition when local tissues are insufficient or compromised. Their vascular supply, tissue composition, and mode of transfer determine their potential applications. Flap selection therefore relies on matching the available tissue to the defect and the function to be restored: bringing the right tissue to the right place to restore the right function. These general principles introduce the different flaps and their applications in urological reconstruction presented during this session.