Microsurgical penile reconstruction with a sensitive radial forearm free flap.
A series of six consecutive cases of total penile reconstruction with a sensitive forearm free flap based on the radial artery is presented. A simple, reliable, and easily reproducible technique with an acceptable aesthetic appearance is described. No partial or complete flap losses were found. The only complication found in three patients was a urinary fistula on the distal third of the flap, which was repaired successfully with a secondary surgical procedure. The aesthetic and functional outcome was satisfactory to the patient and surgical team in all cases. A sensitive radial forearm free flap is a good choice of treatment for total penile reconstruction.
García de Alba
A
A
Clínica de Microcirugía Reconstructiva Hospital Juárez de Mexico, Mexico, D.F. hjuarezm@data.net.mx
de la Peña-Salcedo
J A
JA
López-Monjardin
H
H
Clifton
J F
JF
Palacio-López
E
E
D000328:Adult; D005542:Forearm; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010409:Penile Diseases / Q000601:surgery*; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps