Microsurgical Reconstruction of Penis

Abstract

Introduction: The absence or loss of the penis has serious psychological and social implications. History of reconstruction and construction of the penis has run parallel to the history of plastic surgery, creating higher expectations as techniques are improved. The reconstruction was first described in 1936 by the Russian surgeon Borgoras, although it was phalloplasty with tubular abdominal flap Gillies a very popular procedure and established the benchmark for decades. The era of microsurgery allowed the use of well-vascularized tissue with minimal defects at the donor sites. In 1984, Hwang and Chang described the use of the radial forearm free flap for reconstruction of the penis, giving a semieréctil function with autologous cartilage. The reconstruction include both aesthetic and functional objectives: Normal or near -normal appearance, presence of urethra at the distal end of the penis and allows urination in a standing position, protective and erogenous sensitivity, sufficient length and diameter to perform sexual penetration, internal stiffness to provide similar feel to the erection, procedure performed in a single surgical time and low donor site morbidity.