title: Partial penile reconstruction following fat augmentation with anterolateral thigh perforator flap.
abstract: Augmentation phalloplasty of the normal penis although is gaining popularity among a subgroup of men, is not free of complications. A 27 years old healthy man with normal functioning penis underwent a lipofilling penile augmentation. The procedure was complicated by a post-operative haematoma and infection resulting in a full thickness dorsal penile skin necrosis and a pedicled anterolateral thigh (ALT) perforator flap was required for reconstruction. His presentation, operation and final outcome are reported and the possible options for reconstruction are discussed.
authors.affiliation: Private Practice Reconstructive Plastic Surgeon, 16 Karneadou st, 10676 Athens, Greece. spyriounis@ath.forthnet.gr
authors.forename: Petros K
authors.initials: PK
authors.lastname: Spyriounis
authors.forename: N I
authors.initials: NI
authors.lastname: Karmiris
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D010413:Penis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013518:Surgery, Plastic / Q000009:adverse effects* / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D013530:Surgical Wound Infection / Q000503:physiopathology / Q000601:surgery; D013848:Thigh / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing