title: Quality of life after penile reconstruction using the radial forearm flap in adult bladder exstrophy patients - technique and outcomes.
abstract: BACKGROUND
  Patients who have undergone reconstruction of bladder extrophy can have an extremely short penis, which can be functionally and psychologically debilitating. Penile reconstruction with the radial forearm free flap has the potential to provide these patients with improved genital appearance and sexual function. Quality of life after penile reconstruction is an important outcome measure in evaluation of the procedure.
  
  
  METHODS
  We describe five patients who underwent total penile reconstruction with radial forearm free flaps and interview them with a quality of life questionnaire.
  
  
  RESULTS
  Responses were overwhelmingly positive with regard to improved self-image as well as sexual function.
  
  
  CONCLUSIONS
  This series supports the overwhelmingly positive change in quality of life to be gained with radial forearm free flap penile reconstruction for patients with an extremely short native penis in the adult exstrophy patient.
authors.affiliation: Royal Children's Hospital, Melbourne, Victoria, Australia. sophie_ricketts@me.com
authors.forename: Sophie
authors.initials: S
authors.lastname: Ricketts
authors.forename: David James
authors.initials: DJ
authors.lastname: Hunter-Smith
authors.forename: Christopher John
authors.initials: CJ
authors.lastname: Coombs
mesh_terms: D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery*; D001828:Body Image; D005542:Forearm; D058752:Free Tissue Flaps / Q000009:adverse effects; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D011788:Quality of Life; D019529:Sexuality