Figure 2: A) 17 year old who at age 9 accidently sustained a self-inflicted shotgun injury to the external genitalia resulting in multiple repaired enterotomies and a perineal urethrostomy. Loss of external genitalia except for half of his right testicle. A preoperative view. B) Intraoperative view of the radial forearm flap being harvested and fashioning of the phallus. C) Immediate postoperative view of phallus reconstruction with augmentation using cadaver metacarpal bone.