Author/Authors :
Garaffa, Giulio University College London Hospitals - St Peter’s Andrology, UK , Garaffa, Giulio Whipps Cross University Hospital, UK , Garaffa, Giulio Broomfield Hospital - Department of Urology, UK , Gentile, Vincenzo University ‘‘La Sapienza’’ - Department of Urology, Italy , Antonini, Gabriele University ‘‘La Sapienza’’ - Department of Urology, Italy , Tsafrakidis, Petros Broomfield Hospital - Department of Urology, UK , Tsafrakidis, Petros Whipps Cross University Hospital, UK , Abdel Raheem, Amr University College London Hospitals - St Peter’s Andrology, UK , Ralph, David J. University College London Hospitals - St Peter’s Andrology, UK
Abstract :
We describe and review the most recent techniques of male genital reconstruction, identifying relevant material with an unstructured PubMed-based search of previous reports, using the keywords ‘reconstruction’, ‘glans’, ‘shaft’, ‘lymphoedema’, ‘skin graft’, ‘scrotoplasty’, ‘urethroplasty’, and ‘penile prosthesis’. This search produced 22 reports that were analysed in this review. Split-thickness skin grafts are ideal for glans reconstruction, while full-thickness skin grafts should beused to cover defects on the shaft penis, as they tend to heal with less contracture. The radial artery-based free-flap phalloplasty is the technique of total phallic reconstruction associated with the highest satisfaction rates. Further research is required to identify an ideal reconstructive technique that would guarantee superior cosmetic and functional results, minimising donor site morbidity.
Keywords :
Glans reconstruction , Shaft , Lymphoedema , Genitalia , Scrotoplasty
