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Phalloplasty for an amputated phallus in intersex patients
Abdelmoneim Elhaggagy1, Mohammed Elgammal2, Mohamed Gadelmoula1
1Department of Urology, Assiut University Hospitals, Assiut, Egypt.
Objective:
To report our experience of phalloplasty using a radial forearm free-flap (RFF) and insertion of a penile prosthesis for the amputated phallus.
Patients And Methods:
Phalloplasty was carried out in nine intersex patients with ambiguous genitalia as a result of female circumcision, with a consequent partial or complete excision of their microphallus. Six months later a penile prosthesis was inserted in the periostium of the lower border of the symphysis pubis in the first six patients.
Results:
All patients were fully satisfied with the size and cosmetic appearance of their penis. One patient had a urinary fistula that was closed surgically. All of the patients are continent. The penile prosthesis was implanted successfully with no complications.
Conclusions:
Phalloplasty using a RFF and insertion of a penile prosthesis for the amputated phallus are technically feasible, with good clinical and functional outcomes.