reconstruction is re-building of the glans penis, part of the penile shaft
or a whole new penis (new-phalloplasty) in cases of injury and loss of the
penis, or in case of congenital inborn abnormalities where the penis is very
lost, the glans can be re-built by transferring and sculpturing a rectus
abdominis muscle island flap based on the inferior epigastric vessles. The
flap is tunneled under the mons pubis and alongside the penis to its tip, to
be sculptured as a glans and covered by a split thickness graft. This
technique has been invented by Dr.Shaeer:
Construction Of Neo-Glans Penis: A New
Sculpturing Technique From Rectus Abdominis Myo-Fascial Flap
of the shaft is lost, it can be rebuilt using a special technique that frees
the reserve penis that is normally attached to the bony pelvis. You can read
the details here.
If the penis or what remains from it is too little for augmentation, a new penis can be constructed by radial forearm or fibular free flaps. These flaps can be fashioned as an cosmetically acceptable penis, with erogenous sensibility in many cases. The flap can incorporate cartilage or bone to provide rigidity, or a penile prosthesis can be implanted. The urethra can be constructed upto the tip of the neophallus. The donor site (forearm or leg) are covered by a skin graft.
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