A unique case of secondary microvascular glansplasty: the last genitoreconstructive frontier?
Isolated amputation of the noncarcinogenic penile glans is an extremely rare event. Immediate replantation as a composite graft or by microvascular techniques is the treatment of choice. Secondary reconstruction of the penile glans may be indicated after necrosis as a sequela of infection, surgical resection for malignancy, traumatic loss, and self-mutilation. To date, reported surgical techniques of glanular reconstruction have only been described as part of total phalloplasty. Secondary reconstruction of the penile glans using a sensate radial forearm free flap was performed in a 28-year-old man who presented 3 years after self-amputation in a psychotic state.
Hage
J J
JJ
Department of Plastic and Reconstructive Surgery, Antoni van Leeuwenhoek Ziekenhuis, Amsterdam, The Netherlands.
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012652:Self Mutilation / Q000601:surgery*; D013524:Surgical Flaps