Case Report
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World J Clin Urol. Nov 24, 2014; 3(3): 376-379
Published online Nov 24, 2014. doi: 10.5410/wjcu.v3.i3.376
Pre-fabricated radial forearm phalloplasty with cadaveric bone graft
Jason W Edens, Tuan Tran, Sarah Eidelson, Morad Askari, Christopher J Salgado
Jason W Edens, Tuan Tran, Sarah Eidelson, Morad Askari, Christopher J Salgado, Division of Plastic Surgery, Department of Surgery, Miller School of Medicine, University of Miami and Jackson Memorial Hospital, Miami, FL 33136, United States
Author contributions: All authors contributed equally to this work.
Correspondence to: Christopher J Salgado, MD, Division of Plastic Surgery, Department of Surgery, Miller School of Medicine, University of Miami and Jackson Memorial Hospital, 1120 NW 14th St., 4th Floor, Miami, FL 33136, United States. miamiplasticsurgeon@hotmail.com
Telephone: +1-305-2434500 Fax: +1-305-2434535
Received: April 2, 2014
Revised: June 11, 2014
Accepted: August 27, 2014
Published online: November 24, 2014
Processing time: 230 Days and 18.5 Hours
Abstract

Phalloplasty is a complex set of procedures used in efforts to improve the anatomical, physiological, and aesthetic deficiencies caused by loss or absence of the penis. Methods have evolved significantly, and the use of free tissue transfer has become common amongst reconstructive surgeons. The inclusion of bone autograft, usually radius or fibula, within the neophallus has caused significant morbidity, and efforts continue to find the optimal solution. We present a novel approach using a pre-fabricated, radial forearm fasciocutaneous free flap containing cadaveric bone graft for phalloplasty following traumatic penis amputation.

Keywords: Phalloplasty; Pre-fabrication; Cadaver allograft; Radial forearm; Penile reconstruction

Core tip: While there are many options for penile reconstruction, many techniques have associated morbidity when attempting to recreate rigidity in the neophallus by using bone autograft mostly from either the radius or fibula. In our case report, we use a novel approach to addressing rigidity in the neophallus without causing associated morbidity by using a pre-fabricated, radial forearm fasciocutaneous free flap containing cadaveric bone graft for reconstructive phalloplasty.