Clinical efficacy of repairing long-segment penile defect by medial femoral tubed skin flap in combination with penile elongation

Abstract

Objective To evaluate the efficacy of medial femoral tubed skin flap combined with penile elongation for repairing long-segment penile defects. Methods From June 2009 to January 2015, 13 cases of long-segment penile defects were treated by medial femoral tubed skin flap with penile elongation. Results All cases were followed up for 0.5 to 5.0 years. All flaps survived and all patients had the minor scar in donor areas, with good appearance and feeling of penis. The length of penis in flaccid state was 6.3±1.6 cm. The length of penis in erection state was 8.5±1.2 cm; The circumference of penis was 5.3±1.9 cm. 1.0 cm × 0.7 cm of necrosis at distal parts occurred in one case early after operation, and healed after dressing changes. Two cases had tumid appearance which influenced penile appearance and sexual intercourse. It was improved by local liposuction. No feeling and erectile dysfunction developed during the following-up. Except 5 cases who did not married, the other married patients and their partners were satisfied or quite satisfied with sexual intercourse activity. Conclusions Medial femoral tubed skin flap combined with penile elongation is a good method for the treatment of long-segment penile defects. The prosthetic penis could have suitable length, good appearance, good feeling and erectile function. Key words: Medial femoral; Flap; Penile defect; Penile elongation; Reconstruction