Penile reconstruction serves as a solution for a complex patient population, but not without a series of issues. The loss of the penis negatively affects many domains of oneâs personal life including their interpersonal relationships, self-confidence and psychological well-being. As a result, management consists of not only surgical reconstruction but also psychological rehabilitation. Doctors must educate their patients on surgical options, reasonable expectations and possible complications as well as psychological difficulties patients often face.
The goal of penile reconstruction is to either create or restore both a functional and aesthetic phallus. This includes not only the ability to void while standing, from the tip of the phallus, but also to achieve sexual function, with a sensate penis of sufficient bulk to allow for penetration. Generally, the extent of the defect dictates the means of reconstruction we chose for our patients. A surgical defect may range from one involving a single tissue or structure (i.e. skin or urethra,) to a total penectomy defect, requiring microsurgical reconstruction. The buried penis presents another interesting problem that demands a somewhat different surgical approach and procedure. Additionally, the appearance of the reconstructed phallus is equally important and should resemble a normal penis in all aspects from glans to shaft. Still, some procedures require even more complex procedures such as immediate scrotal reconstruction and testicular prosthesis placement. Penile Reconstruction: Christopher J Salgado, Sarah Eidelson, Rachael Madalon and Zhongyi Sun
Last date updated on October, 2020