PENILE RECONSTRUCTION IN CHILDREN USING A DOUBLE VASCULAR PEDICLE COMPOSITE GROIN FLAP

The purpose of this report is to describe the use of a double vascular pedicle composite groin flap for penile reconstruction in children. T he flap was composed of skin, soft tissue and iliac crest bone. Both d eep and superficial circumflex iliac vessels were included in the pedi cle to ensure a well-vascularized extended skin and bone in the flap. The procedure was carried out in two stages to allow for the prefabric ation of a neourethra which was reconstructed in the flap using a full -thickness skin graft, prior to the transfer of the flap. The large sk in island and bone with a dual blood supply enabled reconstruction of the penis of appropriate size and stiffness without vascular compromis e. Two boys, aged 8 and 10 years, were treated successfully with this method and followed clinically for 4-12 months.