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J Reconstr Microsurg 1994; 10(5): 321-331
DOI: 10.1055/s-2007-1006601
ORIGINAL ARTICLE

© 1994 by Thieme Medical Publishers, Inc.

Results of One-Stage Penile Reconstruction Using an Innervated Radial Osteocutaneous Flap

Jin Suk Byun, Byung Chae Cho, Bong Soo Baik
  • Department of Plastic Surgery, Kyungpook National University School of Medicine, Taegu, Korea
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Publication History

Accepted for publication 1994

Publication Date:
08 March 2008 (online)

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ABSTRACT

Reconstruction of the penis may be indicated in cases of traumatic or surgical amputation of the penis, congenital absence of the penis, micropenis, male pseudohermaphroditism, or transsexualism. Despite recent advances in microsurgery, which have improved the results of total penile 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 follow-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 stricture.