RECONSTRUCTION OF THE PENIS AFTER SEVERE INJURY

Since 1986, five.cases of one-stage reconstruction of the injured peni s using microsurgical techniques have been successfully carried out. A piece of ilium based upon the deep circumflex iliac vessels is used t o form the penis prop and a skin flap of the forearm is transferred to form the urethra and foreskin to encircle the prop. Then the vessels and nerves of the skin flap of the forearm are anastomosed with the ve ssels and nerves of the thigh. Postoperative follow-up showed the cons tructed penis to be satisfactory in contour, allow free flaw of urine, provide cutaneous sensory recovery and satisfactory sexual function i n four married patients. Radiography showed the bony structure of the penis prop to be normal. This method has advantages over the one-stage procedure in terms of contour, urinary pow, satisfactory sexual funct ion and long-term benefits. Most of all it has salved the problem of p oor blood supply into the reconstructed penis prop. (C) 1997 Elsevier Science Ltd.