Js. Byun et al., RESULTS OF ONE-STAGE PENILE RECONSTRUCTION USING AN INNERVATED RADIALOSTEOCUTANEOUS FLAP, Journal of reconstructive microsurgery, 10(5), 1994, pp. 321-331
Reconstruction of the penis may be indicated in cases of traumatic or
surgical amputation of the penis, congenital absence of the penis, mic
ropenis, male pseudohermaphroditism, or transsexualism. Despite recent
advances in microsurgery, which have improved the results of total pe
nile reconstructions to a great extent, this operation remains one of
the biggest challenges to reconstructive plastic surgeons. The authors
have performed one-stage penile reconstruction in five patients since
1989, using an innervated radial forearm osteocutaneous flap. At foll
ow-up (up to 46 months), all patients showed aesthetically acceptable
results and good sensory recovery. The most common complications were
related to the urethra, involving two fistulae and one urethral strict
ure.