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Review
. 2013 Sep;11(3):267-71.
doi: 10.1016/j.aju.2013.04.003. Epub 2013 Jun 12.

Penile reconstruction in the male

Giulio Garaffa  1 , Vincenzo Gentile  2 , Gabriele Antonini  2 , Petros Tsafrakidis  3 , Amr Abdel Raheem  4 , David J Ralph  4
Affiliations
Review

Penile reconstruction in the male

Giulio Garaffa et al. Arab J Urol. 2013 Sep.

Abstract

We describe and review the most recent techniques of male genital reconstruction, identifying relevant material with an unstructured PubMed-based search of previous reports, using the keywords 'reconstruction', 'glans', 'shaft', 'lymphoedema', 'skin graft', 'scrotoplasty', 'urethroplasty', and 'penile prosthesis'. This search produced 22 reports that were analysed in this review. Split-thickness skin grafts are ideal for glans reconstruction, while full-thickness skin grafts should be used to cover defects on the shaft penis, as they tend to heal with less contracture. The radial artery-based free-flap phalloplasty is the technique of total phallic reconstruction associated with the highest satisfaction rates. Further research is required to identify an ideal reconstructive technique that would guarantee superior cosmetic and functional results, minimising donor site morbidity.

Keywords: Genitalia; Glans reconstruction; Lymphoedema; RAFF, radial artery-based forearm free flap; STSG, split-thickness skin graft; Scrotoplasty; Shaft.

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Figures

Figure 1
Figure 1
The final result of total phallic reconstruction with the use of the RAFF.
None
See this image and copyright information in PMC

References

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