Functional restoration of penis with partial defect by scrotal skin flap.
OBJECTIVE
We investigated a reconstructive method with better sensory and erectile function for partial penile defects and report our long-term results of surgical correction using scrotal skin flaps.


METHODS
We retrospectively analyzed the records of 18 patients with penile defects referred to us between 1992 and 2007. All cases were treated with a scrotal skin flap initially to repair the secondary defect after penile elongation.


RESULTS
Of the 18 cases treated during the 15-year period the mechanism of primary injury was circumcision in 3, animal bite in 9 and penile tumor dissection in 6. Penile elongation, division of the suspensory ligament and scrotal skin flaps achieved penile augmentation and enhancement. Six cases were treated with a bilateral scrotal skin flap supplied by the anterior scrotal artery and 12 were repaired with a total anterior scrotal skin flap supplied by the anterior and posterior scrotal arteries. Penile length in the flaccid and erectile states was obviously increased postoperatively (p <0.05). All patients were followed 1 to 9 years (mean 2.3) postoperatively. Deep and superficial sensation recovered and erectile function was retained. Of the 18 patients 15 reported satisfied sexual intercourse during the 0.5 to 5-year followup.


CONCLUSIONS
The method of correcting partial penile defect using scrotal skin flaps is effective and simple according to our long-term experience. This method achieves reasonable cosmesis and penile length in most cases with better sensory and erectile function.
Zhao
Yue-Qiang
YQ
Department of Plastic Surgery, Renmin Hospital of Wuhan University, Wuhan, China. zyqxxx@163.com
Zhang
Jie
J
Yu
Mo-Sheng
MS
Long
Dao-Chou
DC
D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D010410:Penile Erection; D010412:Penile Neoplasms / Q000601:surgery*; D010413:Penis / Q000293:injuries* / Q000502:physiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D012189:Retrospective Studies; D012611:Scrotum / Q000637:transplantation*; D013524:Surgical Flaps; D055815:Young Adult