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The TDAP flap is dissected with the patient in the decubitus position, creating an additional step to change operative position, and separates extirpative and reconstructive stages.
The average operating time, including the extirpative procedure, was 385 minutes.
Our experience supports the idea of complete extirpative surgery as definitive, and we do not advocate radical procedures.
A single surgeon performed the extirpative portion and one of two fellowship-trained reconstructive surgeons performed the urinary diversion extracorporally.