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Review
. 2025 Sep 10.
doi: 10.1038/s41443-025-01141-3. Online ahead of print.

The evolution of penile reconstructive techniques in urology

Mehmet Hamza Gultekin  1 , Abdullah Al-Mitwalli  2 , Wai Gin Lee  2 , David Ralph  3
Affiliations
Review

The evolution of penile reconstructive techniques in urology

Mehmet Hamza Gultekin et al. Int J Impot Res. .

Abstract

The need to enhance the quality of life and functionality of patients with a number of diseases, such as congenital abnormalities, traumas, and gender incongruence, has contributed to a significant development in the field of male genital reconstructive surgery. This article highlights the roots of penile reconstructive surgeries over history, emphasizing innovative achievements that have shaped modern practices. Critical advancements that have improved surgical accuracy and post-operative care are examined, including new imaging modalities, penile prosthesis implantation, and complete phallic reconstruction. In terms of future improvements in genital reconstructive surgery, the combination of tissue engineering and microsurgery offers the potential to further improve the field.

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Conflict of interest statement

Competing interests: The authors declare no competing interests. Ethical approval: This narrative review does not require ethical approval, as it is based solely on a synthesis of previously published literature and does not involve human participants, animal subjects, or patient data. Patient photographs included in this study were used with prior written informed consent obtained for academic publications.

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