A series of six consecutive cases of total penile reconstruction with a sen
sitive forearm free flap based on the radial artery is presented, A simple,
reliable, and easily reproducible technique with an acceptable aesthetic a
ppearance is described, No partial or complete flap losses were found. The
only complication found in three patients was a urinary fistula on the dist
al third of the flap, which was repaired successfully with a secondary surg
ical procedure. The aesthetic and functional outcome was satisfactory to th
e patient and surgical team in all cases. A sensitive radial forearm free f
lap is a good choice of treatment for total penile reconstruction. (C) 2000
Wiley-Liss, Inc.