Glans penis reconstruction with the pedicled deep inferior epigastric artery perforator flap.
This is a report on a novel technique of neoglans reconstruction in a patient with an amputated glans penis as a result of a gunshot injury. A pedicled deep inferior epigastric artery perforator (DIEAP) flap measuring 7 x 4 cm and centralizing the uppermost perforators in the right abdominal region was used. The distal penile skin was used to elongate the urethra. A subcutaneous tunnel was created alongside the penis and underneath the mons pubis. The flap was passed through this tunnel, fashioned into the shape of a glans, and secured in place around the neourethra. The patient had a satisfactory neoglans and a functional urethra at 4-month follow-up. The pedicled DIEAP flap is a suitable option for reconstruction of the glans penis.
Demirtas
Yener
Y
Department of Plastic, Reconstructive, and Aesthetic Surgery, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey.
Ozturk
Nuray
N
Kelahmetoglu
Osman
O
Guneren
Ethem
E
D000671:Amputation, Surgical; D002648:Child; D019074:Epigastric Arteries / Q000601:surgery*; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D014948:Wounds, Gunshot / Q000601:surgery