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Phallic construction in prepubertal and adolescent boys
D A Gilbert1, G H Jordan, C J Devine
1Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
The Journal of Urology
|June 1, 1993
Summary
Microsurgical phallic reconstruction successfully restored erogenous sensation and function in boys and young men. This single-stage procedure addressed various indications, including trauma and developmental anomalies.
Area of Science:
- Urology
- Microsurgery
- Pediatric Surgery
Background:
- Microsurgical phallic reconstruction is a complex procedure for congenital anomalies or acquired defects.
- Indications include trauma, accidents, developmental issues, and micropenis in pediatric and adolescent males.
Observation:
- The study reviewed 16 cases of microsurgical phallic reconstruction over 10 years.
- Patients included 7 prepubertal boys, 4 adolescent boys, and 5 young adults (18-24 years).
Findings:
- The single-stage procedure involved tissue transfer, urethral reconstruction, nerve coaptation, and aesthetic refinement.
- Postpubertal patients regained erogenous sensibility and the ability to masturbate.
Implications:
- Microsurgical techniques offer a viable solution for phallic reconstruction in young males.
- Successful outcomes highlight the potential for restoring function and sensation in reconstructed phalluses.
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