[Reconstruction of the remnant penis: a 52-case report].
OBJECTIVE
To explore the effects of the combined method of abdominal axial flap transposition and penile elongation for the treatment of the remnant penis.


METHODS
Fifty-two cases of the remnant penis treated with the combined method from 1984 April to February 2004 were analyzed retrospectively. Follow-up ranged from 0.5 to 20 years postoperatively.


RESULTS
The lengths (both in normal and erectile conditions) and the circumferences of the penis gained after operation were (5.6 +/- 1.4) cm, (6.8 +/- 2.5 cm and (6.9 +/- 2.3) cm respectively. The recovery rates of the sensory function were 94.2% and 100% in the glans (immediately and 3 months after operation) and 32.7%, 51.9% and 75% in the flap area (3, 6 and 12 months postoperatively). The two-point distinguishing sense in the glans and the flap area was (5.1 +/- 0.9) mm and(7.9 +/- 1.3) mm 5 years after operation. Early complications included distant flap necrosis (3 cases), disruption of the wound (2 cases), part necrosis of the skin graft in the abdominal wall (2 cases) and poor contours occurred in 4 cases in the later period because of the thickness of the flaps. All of them were corrected with satisfactory results.


CONCLUSIONS
The combined method of abdominal axial flap transposition and penile elongation was recommendable for the treatment of the remnant penis because of its positive effects and less complications.
Wu
Xiao-wei
XW
Department of Plastic Surgery, People's Hospital of Wuhan University, Wuhan, Hubei 430060, China.
Long
Dao-chou
DC
Cheng
Bang-chang
BC
Shan
Sheng-guo
SG
Yu
Mo-sheng
MS
Wang
Song-shan
SS
He
Yi-xin
YX
Luo
Ding-an
DA
D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps