Reconstruction of the Penis After Surgery

Ventral Slit Scrotal Flap: A New Outpatient Surgical Option for Reconstruction of Adult Buried Penis Syndrome

“…11 Additionally, because of the highly vascularized nature of the scrotum, scrotal flap necrosis is rare, and primary closure is possible after loss of up to 50% of scrotal skin. [11][12][13] Our Patients and Outcomes Although all the patients in our series were obese, this technique was primarily used on patients who had concealed penis because of trapping from a cicatrix caused by LS or phimosis rather than by a redundant panniculus. 1 Patients who had buried or complex-type concealed penis were managed with skin grafting and abdominoplasty.…”

Penile reconstruction

“…Among these, the medial circumflex femoral artery perforator flap, the gracilis myofasciocutaneous flap, the neurovascular pedicled pudendal thigh flap and the Singapore flap are the most commonly used. 12 PENILE SHAFT RECONSTRUCTION For simplicity, penile reconstruction can be subdivided in repair of skin loss alone or reconstruction of the corpora cavernosa.…”

Phalloplasty in Complete Aphallia and Ambiguous Genitalia

“…However, pedicled options are generally less sensate, making placement of a penile prosthesis more risky. 2 We will discuss free tissue transfer from the radial forearm, the anterolateral thigh, the scapula and latissimus, and the fibula, as well as local rotational flaps from the abdomen, groin, and thigh. The goal of reconstruction should be an aesthetic and functional (ability to penetrate) phallus, which provides tactile and erogenous sensation, the ability to urinate standing and ideally be completed in one to two operations with minimal donor site morbidity.…”