A 30-year-old man presented with short penile corporeal bodies hosting a 3-cm fibular graft, absence of glans, and proximal penile hypospadias. The patient underwent a forearm flap transfer with an "umbrella-like" skin flap for glans and urethra reconstruction and a radial bone strut to allow for rigidity. The postoperative course was uneventful and the patient was followed-up with fluximetry tests at 2 weeks, 4 weeks, 2 months, and 6 months, showing no stenoses and normal stable values. Masturbation started at month 3 postoperatively and intercourse began at month 4, with both resulting in orgasm. At 6 months postoperatively, touch sensation, pain, and sensibility to heat were present, but sensibility to cold was absent. Light touch pressure was detected with 4.74 Semmes-Weinstein monofilament, and static two-point discrimination was 20 mm at the neoglans. One year postoperatively, a stable increased length up to 9 cm at rest and 13 cm at erection with a satisfactory anatomic definition could still be proved.

Glans, urethra and corporeal bodies reconstruction by free osteocutaneous forearm flap transfer / SANTANELLI DI POMPEO, Fabio; Paolini, Guido. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - STAMPA. - 50:5(2003), pp. 545-549. [10.1097/01.SAP.0000038149.45356.12]

Glans, urethra and corporeal bodies reconstruction by free osteocutaneous forearm flap transfer

SANTANELLI DI POMPEO, Fabio;PAOLINI, Guido
2003

Abstract

A 30-year-old man presented with short penile corporeal bodies hosting a 3-cm fibular graft, absence of glans, and proximal penile hypospadias. The patient underwent a forearm flap transfer with an "umbrella-like" skin flap for glans and urethra reconstruction and a radial bone strut to allow for rigidity. The postoperative course was uneventful and the patient was followed-up with fluximetry tests at 2 weeks, 4 weeks, 2 months, and 6 months, showing no stenoses and normal stable values. Masturbation started at month 3 postoperatively and intercourse began at month 4, with both resulting in orgasm. At 6 months postoperatively, touch sensation, pain, and sensibility to heat were present, but sensibility to cold was absent. Light touch pressure was detected with 4.74 Semmes-Weinstein monofilament, and static two-point discrimination was 20 mm at the neoglans. One year postoperatively, a stable increased length up to 9 cm at rest and 13 cm at erection with a satisfactory anatomic definition could still be proved.
2003
01 Pubblicazione su rivista::01a Articolo in rivista
Glans, urethra and corporeal bodies reconstruction by free osteocutaneous forearm flap transfer / SANTANELLI DI POMPEO, Fabio; Paolini, Guido. - In: ANNALS OF PLASTIC SURGERY. - ISSN 0148-7043. - STAMPA. - 50:5(2003), pp. 545-549. [10.1097/01.SAP.0000038149.45356.12]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/255024
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