The authors have used microsurgical methods for one-stage phalloplasty in 63 penile reconstructions performed over the past 12 years. These operations account for about 10% of the free tissue microsurgical transfers performed in their clinic. Usually a one-stage microsurgical phalloplasty is performed using a combination of the techniques of Biemer, Trengove-Jones, and Gilbert together with the author's own way of sculpturing the glans. Several nontypical methods using multiple flap combinations were used in collaboration with Santi and Berrino in the Instituto Nazionale per la Ricerca sul Canro, Genoa (Italy) and Dominici and Pacifici at the University of Perugia (Italy). The authors were responsible for the idea of constructing a skin tunnel inside the penis using two microsurgical free flaps which allows insertion of a temporary inner stiffener. From the microsurgical point of view, this procedure should be considered a "flap within a flap."
European Journal of Plastic Surgery – Springer Journals
Published: Dec 17, 2002
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