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.
