Results of one-stage penile reconstruction using an innervated radial osteocutaneous flap.

Reconstruction of the penis may be indicated in cases of traumatic or surgical amputation of the penis, congenital absence of the penis, micropenis, male pseudohermaphroditism, or transsexualism. Despite recent advances in microsurgery, which have improved the results of total penile reconstructions to a great extent, this operation remains one of the biggest challenges to reconstructive plastic surgeons. The authors have performed one-stage penile reconstruction in five patients since 1989, using an innervated radial forearm osteocutaneous flap. At follow-up (up to 46 months), all patients showed aesthetically acceptable results and good sensory recovery. The most common complications were related to the urethra, involving two fistulae and one urethral stricture.