Partial penile reconstruction following fat augmentation with anterolateral thigh perforator flap

Augmentation phalloplasty of the normal penis although is gaining popularity among a subgroup of men, is not free of complications. A 27 years old healthy man with normal functioning penis underwent a lipofilling penile augmentation. The procedure was complicated by a post-operative haematoma and infection resulting in a full thickness dorsal penile skin necrosis and a pedicled anterolateral thigh (ALT) perforator flap was required for reconstruction. His presentation, operation and final outcome are reported and the possible options for reconstruction are discussed.