Related Experiment Videos
Construction of penis with two free flaps
Takao Harashina1, Yoshiharu Inoue, Ako Takamatsu
1Department of Plastic and Reconstructive Surgery, Medical School, Saitama Medical Center, 1981 Tsujido, Kamoda, Kawagoe, Saitama, Japan 350-8550.
Annals of Plastic Surgery
|September 28, 2002
Summary
This study presents a novel two-free-flap technique for penis construction, utilizing ulnar forearm and deltoid flaps. This method offers improved aesthetic outcomes and functional results for penile reconstruction, even in obese patients.
Area of Science:
- Reconstructive surgery
- Microsurgery
- Urology
Background:
- Penile construction often utilizes radial forearm flaps, but these leave significant donor scars.
- Deltoid flaps offer concealed donor sites but can be excessively thick.
- Obesity presents challenges in penile reconstruction due to flap thickness.
Observation:
- A case study details penis construction using an ulnar forearm flap for the urethra and a deltoid flap for external coverage.
- The ulnar forearm flap provides a 3-cm wide donor scar on the ulnar side, concealed by a half-sleeve shirt.
- This technique allows for appropriate penile size construction even in obese individuals with thick deltoid flaps.
Findings:
- The presented two-flap method successfully reconstructs the penis with improved aesthetic and functional outcomes.
- Donor site morbidity is minimized, with inconspicuous forearm scars and manageable deltoid flap thickness.
- The technique is adaptable for obese patients, addressing challenges posed by thicker deltoid flaps.
Implications:
- This approach offers a viable alternative for penile reconstruction, particularly for patients concerned about donor scar visibility.
- The technique may enhance patient satisfaction by providing aesthetically pleasing and functional results.
- Further research could explore long-term outcomes and broader applicability in diverse patient populations.