Phallic construction in a 65-year-old male pseudohermaphrodite

The authors constructed a functional, sensate phallus for a 65-year-old mal e pseudohermaphrodite. Although their technique is employed frequently for gender reassignment and posttraumatic reconstruction, the opportunity to pe rform this procedure to aid an adult patient with ambiguous genitalia is un usual. Of course, having such a patient present for treatment in his sevent h decade of life is also unique. After careful consideration of his history , previous failure of medical therapy, and overall excellent medical condit ion the authors determined that age alone should not be an impediment to ph allic construction for this patient. Their decision not to construct a peni le urethra, and therefore avoid potential urethral complications, helped to ensure an uneventful postoperative course. Their success in this case has clearly broadened the range of patients that can benefit from phallic const ruction.