Use of dermal graft and free urethral graft in penile reconstruction

From 1979 to 1987 we treated 28 patients with severe penile malformations who required a dermal graft to straighten the shaft and a free graft to construct a urethra. In 10 patients the 2 grafts were placed simultaneously with good results. In 15 patients the dermal graft was placed initially and a urethral graft was placed over it later. In 3 patients the urethroplasty has not been done yet. No complications resulted from the combined use of dermal and urethral free grafts. The principle of "graft on graft" can be applied successfully to correct certain severe penile problems. Indications, technique and results are presented.