One-stage total penile reconstruction with a free sensate osteocutaneous fibula flap.

摘要: This is the first series of total penile reconstructions with free sensate osteocutaneous fibula flap. The main advantages this flap lie in its intrinsic rigidity, superior donor-site location, and long vascular pedicle. provides better bone volume than does radial forearm flap, which commonly results a floppy phallus absence bone. Penile prostheses other flaps have enjoyed limited success. Forearm complications can be avoided. donor site lower extremity readily covered sock. pedicle sufficient length to allow end-to-side anastomosis femoral artery. Interpositional vein grafts are unnecessary, dissection inferior epigastric artery system serve as may appearance neophallus excellent. We present only four continuous cases six we performed because follow-up data available for these four. disadvantages sites, long-term fate bony component, importance sensation, vascularized urethral reconstruction discussed. High patient satisfaction technique convince us that reconstruction.