RECONSTRUCTION OF DEFORMITIES RESULTING FROM PENILE ENLARGEMENT SURGERY

Purpose: More than 30 patients presented for reconstruction of penile deformities secondary to penile enlargement surgery performed by other physicians. Lengthening was performed by releasing the suspensory lig ament of the penis and advancing pubic skin with a V-Y advancement fla p. Girth was increased by injecting autologous fat. Specific complaint s relating to the lengthening procedure involve hypertrophic and/or wi de scars, a proximal penile hump from a thick, hair-bearing V-Y flap, and a low hanging penis. Complications relating to autologous fat inje ctions include disappearance of fat, penile lumps and nodules, and sha ft deformities. The repair of these deformities is described. Material s and Methods: From 1994 through October 1996, 19 men underwent 24 var ious combinations of reconstructive operations, such as scar revisions , V-Y advancement flap reversal, and removal of fat nodules and asymme trical fat deposits. Results: Penile appearance and function were impr oved. Complications include 1 hematoma requiring drainage, minor wound complications and 1 inadequately reversed V-Y flap. Conclusions: The methods of various repairs are discussed, including reconstructive lim itations, timing and staging. Significant improvement can be achieved with proper reconstruction of penile deformities.