Long-term fate of vascularized iliac bone flap as a source for phallic rigidity.

One of the surgical goals of phalloplasty is to obtain sufficient rigidity for sexual penetration. This is also important for patients with erectile dysfunction. Different kinds of techniques have described phalloplasty and obtaining rigidity in patients with erectile dysfunction, but there is no good substitute for the erectile tissue of the penis. The authors used an iliac osteocutaneous flap for phalloplasty and a vascularized bone flap for imitating penile erection. Five patients who had undergone either phalloplasty or correction of erectile dysfunction are presented. Long-term results are promising in adults and the authors advocate using vascularized iliac bone for sufficient rigidity of a (neo)phallus. However, the results are moderate for children who have undergone previous phalloplasty.