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Related Experiment Videos

Phallic reinnervation via the pudendal nerve.

D A Gilbert1, M W Williams, C E Horton

  • 1Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.

The Journal of Urology
|August 1, 1988
PubMed
Summary

Microsurgical techniques significantly improve total phallic reconstruction outcomes. Patients undergoing free tissue transfer with pudendal nerve coaptation showed promising return of tactile and erogenous sensibility.

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Area of Science:

  • Urology
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Total phallic reconstruction is a complex urological challenge.
  • Microsurgical techniques and free tissue transfers have advanced reconstructive options.
  • Innervated free flaps offer improved functional outcomes.

Purpose of the Study:

  • To evaluate the functional recovery of penile sensibility after total phallic reconstruction using free tissue transfer.
  • To assess the efficacy of coapting the pudendal nerve to donor flap sensory nerves.

Main Methods:

  • Prospective study involving 7 patients undergoing total phallic reconstruction with free tissue transfer.
  • Sensory testing included pressure thresholds, vibratory thresholds, and electrodiagnostic studies.
  • Comparison with 30 normal subjects as a baseline.

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Main Results:

  • Postoperative patients demonstrated an encouraging return of tactile and erogenous sensibility.
  • Objective measures of penile sensibility showed positive functional recovery.
  • Pudendal nerve coaptation was integral to all reconstructions.

Conclusions:

  • Free tissue transfer with pudendal nerve coaptation is a promising technique for total phallic reconstruction.
  • Restoration of penile sensibility is achievable, improving patient outcomes.
  • This approach represents a significant advance in genitourinary reconstructive surgery.