[Thirteen-year follow-up in 8 cases of penis reconstruction by ilio-inguinal and umbilical-thoracic compound flaps].
OBJECTIVE
To observe the long-term effect of ilio-inguinal and umbilical-thoracic compound flaps in one-stage reconstruction of the penis.


METHODS
Eight patients, who received one-stage reconstruction of the penis using ilio-inguinal and umbilical-thoracic compound flaps, were all followed up regularly at 6 months, 1, 3, 7 and 13 years postoperatively. The color, diameter, length, and sense recovery of the organ, along with urodynamics and satisfaction degree of both patients and their wives were recorded.


RESULTS
The reconstructed organ retained the original color all through the follow-up, but had shrunk and shortened to some degree within the first 3 years after the operation, a condition that was stabilized afterwards. The sense of the proximal end of the constructed organ began to recover six months after the operation and almost assumed normal sense. The sense of the distal end also recovered, though relatively slowly. Few long-term complications were observed, and the patients and their wives were reasonably satisfied with the reconstructed organs in terms of their shape and function.


CONCLUSIONS
Good long-term effect of one-stage reconstruction of the penis can be achieved by using illio-inguinal and umbilical-thoracic compound flaps, which can be adopted clinically in cases of penis reconstruction.
Yu
Li-Xin
LX
Departments of Kidney Transplantation, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. liuxy@fimmu.com
Liu
Xiao-You
XY
Fu
Shao-Jie
SJ
Chen
Lin-Feng
LF
Deng
Wen-Feng
WF
Ye
Gui-Rong
GR
D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013519:Urogenital Surgical Procedures