Phalloplasty Techniques for Severe Penile Inadequacy
Author Information
Author(s): N. Lumen, S. Monstrey, P. Ceulemans, E. van Laecke, P. Hoebeke
Primary Institution: Ghent University Hospital
Hypothesis
Can phallic reconstruction using free radial forearm flap or pedicled anterolateral thigh flap effectively treat severe penile inadequacy?
Conclusion
Phalloplasty is the preferred treatment for severe penile inadequacy, with the free radial forearm flap being the method of choice due to its superior aesthetic results and sensitivity.
Supporting Evidence
- All patients treated with the radial forearm flap reported good aesthetic results and sensitivity.
- Four patients developed urinary complications, but overall flap survival was 100%.
- Six patients underwent erectile implant surgery, with four reporting satisfactory sexual intercourse.
Takeaway
Doctors can help boys and men with serious problems with their penis by making a new one using skin from their arm or thigh.
Methodology
A cohort of 11 males aged 15 to 42 years underwent phalloplasty using either the free radial forearm flap or the pedicled anterolateral thigh flap, with follow-up evaluations of aesthetic and functional results.
Potential Biases
Potential bias due to subjective evaluations of aesthetic results and sensitivity.
Limitations
The study is limited by its small sample size and retrospective design.
Participant Demographics
11 males aged 15 to 42 years.
Digital Object Identifier (DOI)
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