Reconstruction of the penis using a radial forearm free flap. A case report

The total reconstruction of a penis using an innervated radial forearm osteofasciocutaneous free flap is described. Essentially, this procedure is completed in a single stage and satisfies all criteria for good penis reconstruction: the urethra opens at the distal end of the shaft allowing normal micturition; and sensory innervation of the flap, together with the inclusion of vascularised autogenous bone as a stiffener, facilitates normal sexual function.