A series is presented of 8 patients who had undergone either total pha
lloplasty or free flap penile reconstruction. Our experience with pros
thetic implantation is reviewed as is a brief history of phallic const
ruction, including previously reported efforts at achieving rigidity w
ith prosthetic implantation, autologous material implantation and so f
orth. We present in detail our current technique of implantation in th
ese 8 patients, who underwent 10 attempts at implantation. In 4 patien
ts infection necessitated removal of the prosthesis (2 have since unde
rgone successful reimplantation). Of the 8 patients in whom implantati
on was attempted 6 (60%) currently have prostheses in place.