ABSTRACT
The use of cutaneous or musculocutaneous flaps for total phalloplasty requires the
lack of hairy skin; otherwise urethral strictures most likely will occur. A case of
simultaneous total penile and urethral reconstruction using an expanded lateral arm
sensory free flap is presented. The use of an expander in a small area of hairless
skin on the lateral arm results in a free flap of sufficient size. This procedure
proves to be a useful addition to the reconstructive armamentarium in dealing with
similar challenging cases of penile reconstruction.
