Penile reconstruction: An up-to-date review of the literature

Abstract

Objective: : To review the literature on adult penile reconstruction due to Peyronie's disease, trauma and cosmesis, while emphasising specific surgical techniques and procedures such as phalloplasty, radial forearm free flap reconstruction, and penile transplant. Methods: : A comprehensive review of the literature for the years 1992-2020 of the PubMed and SpringerLink databases was performed to identify articles on penile reconstruction. Search terms included 'penile reconstruction', 'penile trauma', 'phalloplasty', 'penile transplant', and 'treatment of Peyronie's'. Relevant articles were selected. All included studies were performed on adults and written in English. Results: : We were able to identify 46 papers from PubMed and SpringerLink that included the research terms. From these, we included technical details of procedures and gleaned photographs of their works. Additionally, we included photographs from our institution's own plication surgery cases. Conclusions: : The field of adult penile reconstruction is performed for a plethora of reasons. From cosmetic to urgent and from routine to complex, it is most certainly a growing subset of Urology that plays a vital role for the men who need it. To our knowledge, this is the most up-to -date review of adult penile reconstruction.

Self-strangulation induced penile partial amputation: A case report

“…Principles of penile reconstruction surgery are: Judiciously debride necrotic tissue, anastomose the severed urethra, repair the tunica albuginea and microsurgical repair for the dorsal nerves, arteries and veins[ 2 , 15 - 17 ]. Ottaiano et al [ 18 ] summarized in a review of the literature on reconstruction that immediate reconstruction of penile injuries typically occurs by means of suspension or entrapment can reduce complications[ 18 ]. Recent publications have investigated the anatomical approaches to penile allografts and suggested that connection of cavernosal, dorsal, and pudendal arteries would allow for optimal reperfusion[ 10 , 19 ].…”

Surgical management of complex curvature in Peyronie’s disease

“…Correction rate for curvature range between 42 and 100%, with overall satisfaction varying from 68 to 100% [ 22 ]. The shortening procedures are associated with shortening of penis up to 2.5 cm [ 23 ]. Approximately 1 cm of penile shortening is expected for every 20 degrees of correction after penile plication surgery [ 24 ] (Table 1 ).…”