title: De Castro technique used to create neophallus: a case of aphallia.
abstract: We report on a rare case of aphallia in an X, Y-born male treated at our institution. The child underwent phalloplasty at 5 years of age using the De Castro phalloplasty technique and an abdominal skin flap. Although moderate distal necrosis was seen, the overall immediate and 12-month postoperative results were highly encouraging for our patient. Thus, this technique should be seen as a temporizing reconstructive option for patients with aphallia. Long-term follow-up is necessary to determine whether the neophallic size augments with axial growth and the need for additional intervention to facilitate onset of sexual activity.
authors: Division of Pediatric Urology, Univeristy of Minnesota Amplatz Children's Hospital, University of Minnesota Medical Center, Minneapolis, Minnesota 55455, USA.
authors: Katie H
authors: KH
authors: Willihnganz-Lawson
authors: Bahaa S
authors: BS
authors: Malaeb
authors: Aseem R
authors: AR
authors: Shukla
mesh_terms: D000005:Abdomen / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D013524:Surgical Flaps; D019738:Surgically-Created Structures