title: Anatomic Basis for Penis Transplantation: Cadaveric Microdissection of Penile Structures.
abstract: We present a cadaveric dissection study to investigate the anatomic feasibility of penile transplantation. Seventeen male cadavers were dissected to reveal detailed anatomy of the dorsal neurovascular structures including dorsal arteries, superficial and deep dorsal veins, and dorsal nerves of the penis. Dorsal artery diameters showed a significant decrease from proximal to distal shaft. Dominance was observed in one side. Deep dorsal vein showed a straight course and less decrease in diameter compared to artery. Dorsal nerves showed proximal branching pattern. In a possible penile transplantation, level of harvest should be determined according to the patient and the defect, where a transgender patient will receive a total allograft and a male patient with a proximal penile defect will receive a partial shaft allograft. We designed an algorithm for different levels of penile defect and described the technique for harvest of partial and total penile transplants.
authors.affiliation: From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Ege University, Izmir, Turkey; †JMS Burn and Reconstructive Center, Jackson, MS; and ‡Department of Anatomy, Ege University, Izmir, Turkey.
authors.forename: Yigit Ozer
authors.initials: YO
authors.lastname: Tiftikcioglu
authors.forename: Cagil Meric
authors.initials: CM
authors.lastname: Erenoglu
authors.forename: William C
authors.initials: WC
authors.lastname: Lineaweaver
authors.forename: Okan
authors.initials: O
authors.lastname: Bilge
authors.forename: Servet
authors.initials: S
authors.lastname: Celik
authors.forename: Cuneyt
authors.initials: C
authors.lastname: Ozek
mesh_terms: D000328:Adult; D001158:Arteries / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D042282:Microdissection; D008866:Microsurgery; D010413:Penis / Q000098:blood supply* / Q000294:innervation*; D063986:Vascularized Composite Allotransplantation; D014680:Veins / Q000033:anatomy & histology; D000093667:Penile Transplantation