Total phallic reconstruction using radial forearm free flap after iatrogenic penile amputation

Angulo, Javier; Arance, I.; Gómez-Llorens, C.; Esquinas, Cristina; Gómez-Martín, Cristina; Fernández-Cañamaque, J.L.

doi:10.1016/j.acuroe.2017.06.004

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…[8] Phalloplasty using different flaps is also another option when none of the above solutions could be performed. [8,9] Because of the testosterone impact on the fetus brain and the variety of procedures, sex reassignment seems not to be a good option. The penile strangulation causes gradual swelling, ischemia and skin ulceration.…”

Section: Discussionmentioning

confidence: 99%

Penile injuries in children

Saiad

2018

Turkish Journal of Urology

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Section: Discussionmentioning

confidence: 99%

Penile injuries in children

Saiad

2018

Turkish Journal of Urology

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“…The scrotal flap technique is simple with fewer complications, but it is difficult to obtain appropriate bulkiness, and has cosmetic disadvantages after surgery arising from ectopic hair growth [6,7]. The radial forearm free flap provides an adequately thin flap and yields good results in terms of appearance and function, but requires a microscopic procedure and has relatively high complication and donor morbidity rates [8]. On the other hand, the groin flap, while often requiring two-stage surgeries, yields better erectile function and penile bulkiness to fill the contour defect than the skin graft technique and also requires a shorter operation Original Article and results in fewer complications than other flap methods [5].…”

Section: Introductionmentioning

confidence: 99%

Utility of Groin Flap in Penile Reconstruction

et al. 2020

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Background: Reconstruction surgery for skin and soft tissue defects of the penis would ideally secure sufficient volume, be safe in procedure, and involve a simple surgical technique. Among the wide variety of techniques that have been employed, the groin flap-based technique is considered a relatively simple option for volumetric reconstruction. In this retrospective study, the authors report cases of penile reconstructive surgery using a groin flap.Methods: We performed a retrospective chart review of patients with penile defects treated in our department. Reconstructive surgeries were carried out using pedicled groin flaps. Charts were reviewed to investigate duration of the surgeries, recovery and follow-up periods, and bulkiness at one and 10 months after surgery. Patients were observed postoperatively for complications, urination, and erectile function.Results: Six patients hospitalized from March 2009 to September 2013 for penile defects underwent surgery in our department. All patients recovered without any flap loss. The most common complication after surgery was wound dehiscence. Circumferences of penile shafts were measured at 1 and 10 months after surgery, and penile bulkiness at rest were found to be maintained at >86%. There were no patients with contracture, and in all patients, urination and erectile functions were satisfactory.Conclusion: Reconstructing penile defects using groin flaps was found to be favorable in terms of volumetric reconstruction and postoperative patient satisfaction. Furthermore, the surgery and recovery periods are short, and rates of complication and donor site morbidity are also low.

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Total phallic reconstruction using radial forearm free flap after iatrogenic penile amputation

Cited by 2 publications

References 18 publications

Penile injuries in children

Penile injuries in children

Utility of Groin Flap in Penile Reconstruction

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