Subscribe to RSS
DOI: 10.1055/s-2008-1080534
Glans Penis Reconstruction with the Pedicled Deep Inferior Epigastric Artery Perforator Flap
Publication History
Publication Date:
02 July 2008 (online)
ABSTRACT
This is a report on a novel technique of neoglans reconstruction in a patient with an amputated glans penis as a result of a gunshot injury. A pedicled deep inferior epigastric artery perforator (DIEAP) flap measuring 7 × 4 cm and centralizing the uppermost perforators in the right abdominal region was used. The distal penile skin was used to elongate the urethra. A subcutaneous tunnel was created alongside the penis and underneath the mons pubis. The flap was passed through this tunnel, fashioned into the shape of a glans, and secured in place around the neourethra. The patient had a satisfactory neoglans and a functional urethra at 4-month follow-up. The pedicled DIEAP flap is a suitable option for reconstruction of the glans penis.
KEYWORDS
Glans penis - amputation - reconstruction - pedicled perforator flap - DIEAP
REFERENCES
-
1 Glenn J F, Brendler C B, Carson III C C et al..
Penile trauma . In: Nudell DM, Morey AF, McAninch JW Glenn's Urologic Surgery. 5th ed. Philadelphia; SD Graham Jr 1998: 599-603 - 2 Puckett C L, Reinisch J F, Montie J F. Free flap phalloplasty. J Urol. 1982; 128 294-297
- 3 Chang T S, Hwang Y W. Forearm flap in one stage reconstruction of the penis. Plast Reconstr Surg. 1984; 74 251-258
- 4 Biemer E. Penile reconstruction by the radial arm flap. Clin Plast Surg. 1988; 15 425-430
- 5 Lovie M J, Duncan G M, Glasson D W. The ulnar artery forearm flap. Br J Plast Surg. 1984; 37 486-492
- 6 Sadove R C, Sengezer M, McRoberts J W, Wells M D. One stage total penile reconstruction with a free sensate osteocutaneous fibula flap. Plast Reconstr Surg. 1993; 92 1314-1323
- 7 Rashid M, Sarwar S U. Avulsion injuries of the male external genitalia: classification and reconstruction with the customised radial forearm free flap. Br J Plast Surg. 2005; 58 585-592
- 8 Felici N, Felici A. A new phalloplasty technique: the free anterolateral thigh flap phalloplasty. J Plast Reconstr Aesthet Surg. 2006; 59 153-157
- 9 Neulander E, Walfisch S, Kaneti J. Amputation of distal penil glans during neonatal ritual circumcision—a rare complication. Br J Urol. 1996; 77 924-925
- 10 Shaeer O, El-Sebaie A. Construction of neoglans penis: a new sculpturing technique from rectus abdominis myofascial flap. J Sex Med. 2005; 2 259-265
- 11 Kimura N, Satoh K, Hosaka Y. Microdissected thin perforator flaps: 46 cases. Plast Reconstr Surg. 2003; 112 1875-1885
- 12 Bogoraz N A. Plastic restoration of the penis. Sov Khir. 1936; 8 303-308
- 13 Orticochea M. A new method of total reconstruction of the penis. Br J Plast Surg. 1972; 25 347-366
- 14 Mutaf M. Nonmicrosurgical use of the radial forearm flap for penile reconstruction. Plast Reconstr Surg. 2001; 107 80-86
- 15 Hu Z Q, Hyakusoku H, Gao J H, Aoki R, Ogawa R, Yan X. Penis reconstruction using three different operative methods. Br J Plast Surg. 2005; 58 487-492
Yener DemirtasM.D.
Ondokuz Mayis Universitesi Tip Fak., Plast. Rek. Est. Cer. AD
55139, Kurupelit, Samsun, Turkey