title: [Reconstruction of the remnant penis: a 52-case report].
abstract: 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.
authors.affiliation: Department of Plastic Surgery, People's Hospital of Wuhan University, Wuhan, Hubei 430060, China.
authors.forename: Xiao-wei
authors.initials: XW
authors.lastname: Wu
authors.forename: Dao-chou
authors.initials: DC
authors.lastname: Long
authors.forename: Bang-chang
authors.initials: BC
authors.lastname: Cheng
authors.forename: Sheng-guo
authors.initials: SG
authors.lastname: Shan
authors.forename: Mo-sheng
authors.initials: MS
authors.lastname: Yu
authors.forename: Song-shan
authors.initials: SS
authors.lastname: Wang
authors.forename: Yi-xin
authors.initials: YX
authors.lastname: He
authors.forename: Ding-an
authors.initials: DA
authors.lastname: Luo
mesh_terms: 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