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Penile reconstruction in the male
Giulio Garaffa1, Vincenzo Gentile2, Gabriele Antonini2
1St Peter's Andrology, University College London Hospitals, London, UK ; Department of Urology, Broomfield Hospital, Chelmsford, UK ; Whipps Cross University Hospital, London, UK.
Arab Journal of Urology
|November 12, 2015
Summary
This review analyzes male genital reconstruction techniques, recommending split-thickness skin grafts for glans and full-thickness grafts for penile shaft defects. Radial artery free-flap phalloplasty offers high satisfaction for total phallic reconstruction.
Area of Science:
- Urology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Male genital reconstruction addresses congenital anomalies, trauma, and cancer-related defects.
- Current reconstructive techniques vary in efficacy and patient outcomes.
- Optimizing cosmetic and functional results while minimizing morbidity is a key challenge.
Purpose of the Study:
- To review and synthesize recent advancements in male genital reconstruction techniques.
- To identify optimal graft types and surgical methods for specific anatomical regions.
- To evaluate techniques for total phallic reconstruction and associated patient satisfaction.
Main Methods:
- Unstructured PubMed search using keywords: reconstruction, glans, shaft, lymphoedema, skin graft, scrotoplasty, urethroplasty, penile prosthesis.
- Analysis of 22 relevant reports identified through the literature search.
- Review focused on techniques for glans, penile shaft, and total phallic reconstruction.
Main Results:
- Split-thickness skin grafts are recommended for glans reconstruction.
- Full-thickness skin grafts are preferred for penile shaft defects to reduce contracture.
- Radial artery-based free-flap phalloplasty demonstrates high patient satisfaction for total phallic reconstruction.
Conclusions:
- Specific graft types are advantageous for different areas of male genital reconstruction.
- Free-flap phalloplasty represents a successful approach for total phallic reconstruction.
- Further research is needed to refine techniques for superior cosmetic/functional outcomes and reduced donor site morbidity.