Reconstruction of the Penis After Surgery

Urologic Clinics of North America

Volumn 37, Issue 3, 2010, Pages 379-401

  Salgado, Christopher J ^a   Monstrey, Stan ^b   Hoebeke, Piet ^b   Lumen, Nicolaas ^b   Dwyer, Moira ^c   Mardini, Samir ^c  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^b GHENT UNIVERSITY HOSPITAL   (Belgium)

^c MAYO CLINIC ROCHESTER   (United States)

Author keywords

Cancer; Erectile; Flap; Penis; Reconstruction; Scrotum; Skin graft; Urethra

Indexed keywords

ANAMNESIS; FIBULA GRAFT; FREE TISSUE GRAFT; HUMAN; ISLAND FLAP; MALE GENITAL SYSTEM SURGERY; MEDICAL DECISION MAKING; OSTEOCUTANEOUS FLAP; PATIENT POSITIONING; PATIENT SELECTION; PEDICLED SKIN FLAP; PENIS AMPUTATION; PENIS CANCER; PENIS PROSTHESIS; PENIS RECONSTRUCTION; PHYSICAL EXAMINATION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PREOPERATIVE CARE; PRIORITY JOURNAL; RADIAL FOREARM FLAP; REVIEW; SCROTUM DISORDER; SURGICAL TECHNIQUE; TESTIS DISEASE; URETHRA DISEASE; URETHROPLASTY; URINARY DIVERSION;

HUMANS; MALE; PENIS; RECONSTRUCTIVE SURGICAL PROCEDURES; SCROTUM; SURGICAL FLAPS; TESTIS; URETHRA; UROLOGIC SURGICAL PROCEDURES, MALE;

EID: 77955246712     PISSN: 00940143     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ucl.2010.04.015     Document Type: Review

References (100)

1. Cheng K., Hwang W., Eid A.E., et al. Analysis of 136 cases of reconstructed penis using various methods. Plast Reconstr Surg 1995, 95(6):1070-1080.
2. Gilbert D.A., Horton C.E., Terzis J.K., et al. New concept in phallic reconstruction. Ann Plast Surg 1987, 18(2):128-136.
3. Hage J.J., de Graaf F.H. Addressing the ideal requirements by free flap phalloplasty: some reflections on refinements of technique. Microsurgery 1993, 14:592-598.
4. Descamps M.J.L., Hayes P.M., Hudson D.A. Phalloplasty in complete aphallia: pedicled anterolateral thigh flap. J Plast Reconstr Aesthet Surg 2009, 62(3):51-54.
5. Mutaf M., Isik D., Bulut O., et al. A true one-stage nonmicrosurgical technique for total phallic reconstruction. Ann Plast Surg 2006, 57(1):100-106.
6. Hage J.J. Simple, safe, and satisfactory secondary penile enhancement after near-total oncologic amputation. Ann Plast Surg 2009, 62(6):685-689.
7. Hanash K.A., Tur J.J. One-stage plastic reconstruction of a totally amputated cancerous penis using a unilateral myocutaneous gracilis flap. J Surg Oncol 1986, 33(4):250-253.
8. Kayes O.J., Durrant C.A., Ralph D., et al. Vertical rectus abdominis flap reconstruction in patients with advanced penile squamous cell carcinoma. BJU Int 2007, 99(1):37-40.
9. Payne C.E., Southern S.J. Urinary point-of-care test for smoking in the pre-operative assessment of patients undergoing elective plastic surgery. J Plast Reconstr Aesthet Surg 2006, 59:1156-1161.
10. Atik B., Tan O., Ceylan K., et al. Reconstruction of wide scrotal defect using superthin groin flap. Urology 2006, 68(2):419-422.
11. Rohrich R.J., Coberly C.M., Krueger J.K., et al. Planning elective operations on patients who smoke: survey of North American plastic surgeons. Plast Reconstr Surg 2002, 191(1):350-355.
12. Summerton D.J., Campbell A., Minhas S., et al. Reconstructive surgery in penile trauma and cancer. Nat Clin Pract Urol 2005, 2(8):391-397.
13. Hoebeke P.B., Rottey S., Van Heddeghem N., et al. One-stage penectomy and phalloplasty for epithelioid sarcoma of the penis in an adolescent: part 2. Eur Urol 2007, 51(6):1744-1747.
14. Khouri R.K., Young V.L., Casoli V.M. Long-term results of total penile reconstruction with a prefabricated lateral arm free flap. J Urol 1998, 160(2):383-388.
15. Garaffa G., Raheem A.A., Christopher N.A., et al. Total phallic reconstruction after penile amputation for carcinoma. BJU Int 2009, 104:852-856.
16. Hallock G.G. Doppler sonography and color duplex imaging for planning a perforator flap. Clin Plast Surg 2003, 30(3):347-357.
17. Perovic S. Phalloplasty in children and adolescents using the extended pedicle island groin flap. J Urol 1995, 154:848.
18. Taylor G.I., Corlett R., Boyd J.B. The extended deep inferior epigastric flap: a clinical technique. Plast Reconstr Surg 1983, 72(6):751-765.
19. Andrich D.E., Dunglison N., Greenwell T.J., et al. The long-term results of urethroplasty. J Urol 2003, 170:90.
20. Zhao Y.Q., Zhang J., Yu M.S., et al. Functional restoration of penis with partial defect by scrotal skin flap. J Urol 2009, 182(5):2358-2361.
21. Santucci R.A., Mario L.A., McAninch J.W. Anastomotic urethroplasty for bulbar urethral stricture: analysis of 168 patients. J Urol 2002, 167:1715.
22. Micheli E., Ranieri A., Peracchia G., et al. End-to-end urethroplasty: long-term results. BJU Int 2002, 90:68.
23. Mira J.L., Fan G. Leiomyoma of the male urethra: a case report and review of the literature. Arch Pathol Lab Med 2000, 124:302.
24. Jalon Monzon A., Garcia Rodriguez J., Sanchez Trilla A., et al. Arch Esp Urol 2004, 57:1128. [in Spanish].
25. Saad A.G., Kaouk J.H., Kaspar H.G., et al. Leiomyoma of the urethra: report of 3 cases of a rare entity. Int J Surg Pathol 2003, 11:123.
26. Guralnick M.L., Webster G.D. The augmented anastomotic urethroplasty: indications and outcome in 29 patients. J Urol 2001, 165:1496.
27. Duckett J.W. Transverse preputial island flap technique for repair of severe hypospadias. Urol Clin North Am 1980, 7:423.
28. Zinman L. Muscular, myocutaneous, and fasciocutaneous flaps in complex urethral reconstruction. Urol Clin North Am 2002, 29:443.
29. Sharp D.S., Angermeier K.W. Surgery of penile and urethral carcinoma. Campbell-Walsh urology 2007, 993-1022. Saunders Elsevier, Philadelphia. A.J. Wein, L.R. Kavoussi, A.C. Novick (Eds.).
30. Morey A.F., Rozansky T.A. Genital and lower urinary tract trauma. Campbell-Walsh urology 2007, 2649-2662. Saunders Elsevier, Philadelphia. A.J. Wein, L.R. Kavoussi, A.C. Novick (Eds.).
31. Por Y.C., Tan B.K., Hong S.W., et al. Use of the scrotal remnant as a tissue-expanding musculocutaneous flap for scrotal reconstruction in Paget's disease. Ann Plast Surg 2003, 51(2):155-160.
32. Yu P., Sanger J.R., Matloub H.S., et al. Anterolateral thigh fasciocutaneous island flaps in perineoscrotal reconstruction. Plast Reconstr Surg 2002, 109(2):610-616.
33. Wang D., Zheng H., Deng F. Spermatogenesis after scrotal reconstruction. Br J Plast Surg 2003, 56(5):484-488.
34. Alexander J.W., Fischer J.E., Boyajian M., et al. The influence of hair-removal methods on wound infections. Arch Surg 1983, 118:347-352.
35. Friedman J.D. Reconstruction of the perineum. Grabb and Smith's plastic surgery 2007, 708-716. Lippincott Williams & Wilkins, Philadelphia. C.H. Thorne, R.W. Beasley, S.J. Aston (Eds.).
36. Sandlow J.I., Winfield H.N., Goldstein M. Surgery of the scrotum and seminal vesicles. Campbell-Walsh urology 2007, 1098-1128. Saunders Elsevier, Philadelphia. A.J. Wein, L.R. Kavoussi, A.C. Novick (Eds.).
37. Ying J., Yao D.H., Cheng K.X., et al. Zhonghua Wai Ke Za Zhi 2007, 45(18):1257-1259. [in Chinese].
38. Karacal N., Livaoglu M., Kutlu N., et al. Scrotum reconstruction with neurovascular pedicled pudendal thigh flaps. Urology 2007, 70(1):170-172.
39. Altchek E.D., Hoffman S. Scrotal reconstruction in Fournier's syndrome. Ann Plast Surg 1979, 3:523-528.
40. Perovic S.V., Djinovic R.P., Bumbasirevic M.Z., et al. Severe penile injuries: a problem of severity and reconstruction. BJU Int 2009, 104:676-687.
41. Hallock G.G. Scrotal reconstruction following Fournier gangrene using the medial circumflex femoral artery perforator flap. Ann Plast Surg 2006, 57(3):333-335.
42. Hsu H., Lin C.M., Sun T.B., et al. Unilateral gracilis myofasciocutaneous advancement flap for single stage reconstruction of scrotal and perineal defects. J Plast Reconstr Aesthet Surg 2007, 60(9):1055-1059.
43. Kayikçioĝlu A. A new technique in scrotal reconstruction: short gracilis flap. Urology 2003, 61:1254-1256.
44. Karaçal N., Livaoglu M., Kutlu N., et al. Scrotum reconstruction with neurovascular pedicled pudendal thigh flaps. Urology 2007, 70(1):170-172.
45. Payne C.E., Williams A.M., Hart N.B. Lotus petal flaps for scrotal reconstruction combined with Integra resurfacing of the penis and anterior abdominal wall following necrotising fasciitis. J Plast Reconstr Aesthet Surg 2009, 62(3):393-397.
46. Maharaj D., Naraynsingh V., Perry A., et al. The scrotal reconstruction using the " Singapore Sling" Plast Reconstr Surg 2002, 110(1):203-205.
47. Morris M.S., Morey A.F., Stackhouse D.A., et al. Fibrin sealant as tissue glue: preliminary experience in complex genital reconstructive surgery. Urology 2006, 67(4):688-691.
48. Ferguson G.G., Brandes S.B. Gunshot wound injury of the testis: the use of tunica vaginalis and polytetrafluoroethylene grafts for reconstruction. J Urol 2007, 178(6):2462-2465.
49. Schonfeld W., Beebe G.W. Normal growth and variation in the male genitalia from birth to maturity. J Urol 1942, 48:759.
50. Ochoa B. Trauma of the external genitalia in children: amputation of the penis and emasculation. J Urol 1998, 160(3 Pt 2):1116-1119. [discussion: 1137].
51. Amukele S.A., Lee G.W., Stock J.A., et al. 20-year experience with iatrogenic penile injury. J Urol 2003, 170(4 Pt 2):1691-1694.
52. Rubino C., Figus A., Dessy L.A., et al. Innervated island pedicled anterolateral thigh flap for neo-phallic reconstruction in female-to-male transsexuals. J Plast Reconstr Aesthet Surg 2009, 62(3):45-49.
53. Hage J.J., Bloem J.J., Suliman H.M. Review of the literature on techniques for phalloplasty with emphasis on the applicability in female-to-male transsexuals. J Urol 1993, 150(4):1093-1098.
54. Bogaraz N. Plastic restoration of the penis. Sovet Khir 1936, 8:303.
55. Akoz T., Kargi E. Phalloplasty in a female-to-male transsexual using a double-pedicle composite groin flap. Ann Plast Surg 2002, 48:423-427.
56. Sun G.C., Huang J.J. One-stage reconstruction of the penis with composite iliac crest and lateral groin skin flap. Ann Plast Surg 1985, 15:519.
57. Koshima I., Nanba Y., Nagai A. Penile reconstruction with bilateral superficial circumflex iliac artery perforator (SCIP) flaps. J Reconstr Microsurg 2006, 22(3):137-142.
58. He Q.L., Lin Z.H., Liu Q., et al. One-stage penis reconstruction with the abdominal fasciocutaneous flap based on the double arteries. Report of 16 cases. Chin Med J 1987, 100:255.
59. Lai C.S., Chou C.K., Yang C.C., et al. Immediate reconstruction of the penis with an iliac flap. Br J Plast Surg 1990, 43:621.
60. Hage J.J., Bouman F.G., de Graaf F.H., et al. Construction of the neophallus in female-to-male transsexuals: the Amsterdam experience. J Urol 1993, 149:1463-1468.
61. Santi P., Berrino P., Canavese G., et al. Immediate reconstruction of the penis using an inferiorly based rectus abdominis myocutaneous flap. Plast Reconstr Surg 1988, 8:961-964.
62. Jordan G.H., Schlossberg S.M. Surgery of the penis and urethra. Campbell-Walsh urology 2007, 1023-1097. Saunders Elsevier, Philadelphia. A.J. Wein, L.R. Kavoussi, A.C. Novick (Eds.).
63. Ubrig B., Waldner M., Fallahi M., et al. Preputial flap for primary closure after excision of tumors on the glans penis. Urology 2001, 58:274-276.
64. Zhao Y.Q., Zhang J., Yu M.S., et al. Functional restoration of penis with partial defect by scrotal skin flap. J Urol 2009, 182(5):2358-2361.
65. Emsen I.M. A different application of the unilobed flap: bilateral vascularized scrotal pedicle flap for reconstruction on the scrotal and peno-scrotal defects. Dermatol Surg 2009, 35(4):714-716.
66. Mazza O.N., Cheliz G.M. Glanuloplasty with scrotal flap for partial penectomy. J Urol 2001, 166:887-889.
67. Liu Y., Li S., Li Y., et al. Clinical applications of the scrotal skin flaps pedicled on lateral branches of the posterior scrotal arteries. Zhonghua Zheng Xing Wai Ke Za Zhi 2002, 18(6):367-368.
68. Greenberger M.L., Lowe B.A. Penile stump advancement as an alternative to perineal urethrostomy after penile amputation. J Urol 1999, 161:893.
69. Seyhan T., Borman H. Pedicled deep inferior epigastric perforator flap for lower abdominal defects and genital reconstructive surgery. J Reconstr Microsurg 2008, 24(6):405-412.
70. Zeng A., Xu J., Xiaoqing Y., et al. Pedicled deep inferior epigastric perforator flap: an alternative method to repair groin and scrotal defects. Ann Plast Surg 2006, 57(3):285-288.
71. Demirtas Y., Ozturk N., Kelahmetoglu O., et al. Glans penis reconstruction with the pedicled deep inferior epigastric artery perforator flap. J Reconstr Microsurg 2008, 24(5):323-326.
72. Shaeer O., El-Sebaie A. Construction of neoglans penis: a new sculpturing technique from rectus abdominis myofascial flap. J Sex Med 2005, 2(2):259-265.
73. Bogoras N. Über die volle plastische Wiederherstellung eines zum Koitus fähigen penis (Peniplastica totalis). Zentralbl Chir 1936, 22:1271-1276. [in Danish].
74. Gillies H., Millard D.R. The principles and art of plastic surgery 1957, vol. 2. Butterworth, London, p. 368-84.
75. Snyder C.C. Intersex problems and hermaphroditism. Reconstructive plastic surgery 1964, 2078-2105. Saunders, Philadelphia. J.M. Converse (Ed.).
76. Biber SH. A method for constructing the penis and scrotum. Presented at the VIth international symposium on gender dysphoria. San Diego (CA); 1979.
77. Hester T.R., Nahain F., Beeglen P.E., et al. Blood supply of the abdomen revisited, with emphasis on the superficial inferior epigastric artery. Plast Reconstr Surg 1984, 74(5):657-666.
78. McGregor I.A., Jackson I.T. The groin flap. Br J Plast Surg 1972, 25:3-16.
79. Hoopes J.E. Surgical construction of the male external genitalia. Clin Plast Surg 1974, 1(2):325-334.
80. Horton C.E., McCraw J.B., Devine C.J., et al. Secondary reconstruction of the genital area. Urol Clin North Am 1977, 4:133-141.
81. Exner K. Penile reconstruction in female to male transsexualism: a new method of phalloplasty. Xth International Congress on plastic and reconstructive surgery. Madrid; 1992.
82. Hage J.J., Winters H.A., Van Lieshout J. Fibula free flap phalloplasty: modifications and recommendations. Microsurgery 1996, 17:358-365.
83. Song R., Gao Y., Song Y., et al. The forearm flap. Clin Plast Surg 1982, 9(1):21-26.
84. Harashima T., Ionque T., Tanaka I., et al. Reconstruction of penis with free deltoid flap. Br J Plast Surg 1990, 43:217-222.
85. Sadove R.C., Sengezer M., McRobert J.W., et al. One-stage total penile reconstruction with a free sensate osteocutaneous fibula flap. Plast Reconstr Surg 1993, 92(7):1314-1325.
86. Santanelli F., Scuderi N. Neophalloplasty in female-to-male transsexuals with the island tensor fascia lata flap. Plast Reconstr Surg 2000, 105(6):1990-1996.
87. Felici N., Felici A. A new phalloplasty technique: the free anterolateral thigh flap phalloplasty. J Plast Reconstr Aesthet Surg 2006, 59:153-157.
88. Chang T.S., Hwang W.Y. Forearm flap in one stage reconstruction of the penis. Plast Reconstr Surg 1984, 74(2):251-258.
89. Fang R.H., Kao Y.S., Ma S., et al. Phalloplasty in female-to-male transsexuals using free radial osteocutaneous flap: a series of 22 cases. Br J Plast Surg 1999, 52(3):217-222.
90. Monstrey S., Hoebeke P., Dhont M., et al. Surgical therapy in transsexual patients: a multi-disciplinary approach. Acta Chir Belg 2001, 101:200-209.
91. Monstrey S., Hoebeke P., Selvaggi G., et al. Penile reconstruction: is the radial forearm flap really the standard technique. Plast Reconstr Surg 2009, 124:510-518.
92. Salgado C.J., Moran S.L., Mardini S. Flap monitoring and patient management [review]. Plast Reconstr Surg 2009, 124(Suppl 6):e295-e302.
93. Sengezer M., Ozturk S., Deveci M., et al. Long term follow-up of total penile reconstruction with sensate osteocutaneous free fibula flap in 18 biological male patients. Plast Reconstr Surg 2004, 114(2):439-450.
94. Ceulemans P. The pedicled antero-lateral thigh (ALT) perforator flap: a new technique for phallic reconstruction. XIX Biennial Symposium of the Harry Benjamin International Gender Dysphoria (HBIGDA) Association. Bologna (Italy), April 2005.
95. Hoebeke P, de Cuypere G, Ceulemans P, et al. Obtaining rigidity in total phalloplasty: experience with 35 patients. J Urol 2003, 169(1):221-223.
96. Hoebeke P., De Cuypere G., Ceulemans P., et al. Obtaining rigidity in total phalloplasty: experience with 35 patients. J Urol 2003, 169:221-223.
97. De Cuypere G., T'Sjoen G., Beerten R., et al. Sexual and physical health after sex reassignment surgery. Arch Sex Behav 2005, 36(6):679-690.
98. Salgado C.J., Rampazzo A., Xu E., et al. Treatment of dyspareunia by creation of a pseudojoint in rigid bone following total penile reconstruction with fibular osteocutaneous flap. J Sex Med 2008, 5(12):2947-2950.
99. Salgado C.J., Licata L., Fuller D.A., et al. Glans penis coronaplasty with palmaris longus tendon following total penile reconstruction. Ann Plast Surg 2009, 62(6):690-692.
100. Hu W., Lu J., Zhang L., et al. A preliminary report of penile transplantation. Eur Urol 2006, 50(4):851-853.