Authors :
Eze Chinonso Blessing; Eze Nneka Margret; Okwara Blasius Okechukwu
Volume/Issue :
Volume 10 - 2025, Issue 2 - February
Google Scholar :
https://tinyurl.com/yc5xsvms
Scribd :
https://tinyurl.com/yc4sbxe3
DOI :
https://doi.org/10.5281/zenodo.14965906
Abstract :
Penile reconstruction can be challenging. The goal of the repair is to have aesthetically good looking penis that
serves micturation and sexual needs. The patient must be approached holistically. The aim of this article is to show that care
must be taking when using pedicle medial thigh flap in penile reconstruction.
Methodology
This is a case report of a traumatic penile defect reconstructed with pedicle medial thigh flap.
Findings
The penile defect was successfully reconstructed with patient scoring highest level of satisfaction in Liket scale. Patient
also reported good erections. However, we experience wound dehiscence in the course of the reconstruction.
Implications to Theory, Practice and Policy
Pedicle medial thigh flap is a good option in penile reconstruction. However the donor thigh should be restrained to
prevent wound dehiscence.
Keywords :
Penile, Thigh, Flap Medial, Dehiscence.
References :
- Çelebi S. Neo-glans reconstruction with dartos flaps covered with buccal mucosal graft after total glans amputation during circumcision:Novel technique. Ulus Travma Acil Cerrahi Derg 2023;29:746-751.
- Giulio G, Amr A.R David J.R .An update on penile reconstruction; Asian Journal of Andrology (2011) 13, 391–394; doi:10.1038/aja.2011.29
- Adigun I.A, Kuranga S.A, Abdulrahman I.O. Grinding machine: Friend or Foe. WAJM. OCTOBER 2002; Vol 21(4).338-340.
- Philip S. B, Irene T. M, Jeff J. K, Gordon K. L .Penile Reconstruction: Current Thoughts, Techniques, and Outcomes.EMJ Urol. 2020;8[1]:12-21.
- Muhammad A, Muhammad M, Muhammad T, Muhammad S, Zahid I. Reconstructive Surgery for Severe Penile Injury: One-Stage Penile Reconstruction (Phalloplasty) Using Pedicled Island Anterolateral Thigh Flap. P J M H S Vol. 7(3) JUL – SEP 2013. 692-7
- Mihaly M,Daniel V, Zoltan K, Tibor F. A New Modified Bipedicle Scrotal Skin Flap Technique for theReconstruction of Penile Skin in Patients withParaffin-InducedSclerosing Lipogranuloma of the Penis .THE JOURNAL OF UROLOGY; Vol. 208,July 2022. 171-178
- Nicholas O, Joshua P, Jacob T, Omar D , Omer R. Penile reconstruction: An up-to-date review of the literature; Arab Journalof Urology, 2021,19:3, 353-362,DOI:10.1080/2090598X.2021.1957410
- Giulio G, Vincenzo G, Gabriele A, Petros T, Amr A.R & David J.R. Penile reconstruction in the male, Arab Journal of Urology, 11:3,(2013). 267-271. DOI: 10.1016/j.aju.2013.04.003
- Ragheb A, Tamim A, Kusay A, Zaher A,Mario Tarzi5, Ahmad Rami R, et al. Penile reconstruction using scrotal flap after usage ofmonopolar electrocautery in a2-month-old Syrianchild: a case report. Journal of Surgical Case Reports, 2019;12, 1–3doi: 10.1093/jscr/rjz351
- Vasundhra J, Shravan R.K.Srilekha R.G. Devajyoti G, Shikha G, Anil M, MohitS. Penile Reconstruction with Radial Forearm FreeFlap—Present State of the ArtIndian J Plast Surg; doi.org/10.1055/s-0044-1791195.
- Christopher J.S, Harvey C, Jennifer C. T, Stan J. M and Samir MSeminars In Plastic Surgery/Volume 25, Number 3 2011. 221-8.
- Jong S.K, Yu S.S, Jong K.P. Penile skin preservation technique forreconstruction surgery of penile paraffinoma ;Investig Clin Urol Posted online 2019.1.25
- Muhammad A.K , Syahril A.S, Hamid G. Scrotal bridge flap reconstructive surgeryfor extensive penile paraffinoma: stepsand outcomes from a single center: a case series; Afr J Urol (2021) 27:113
- N Snyder, LJ Gould. Scrotal and penile reconstruction using the vacuum-assisted closure device. Can J Plast Surg2005;13(4):205-206.
Penile reconstruction can be challenging. The goal of the repair is to have aesthetically good looking penis that
serves micturation and sexual needs. The patient must be approached holistically. The aim of this article is to show that care
must be taking when using pedicle medial thigh flap in penile reconstruction.
Methodology
This is a case report of a traumatic penile defect reconstructed with pedicle medial thigh flap.
Findings
The penile defect was successfully reconstructed with patient scoring highest level of satisfaction in Liket scale. Patient
also reported good erections. However, we experience wound dehiscence in the course of the reconstruction.
Implications to Theory, Practice and Policy
Pedicle medial thigh flap is a good option in penile reconstruction. However the donor thigh should be restrained to
prevent wound dehiscence.
Keywords :
Penile, Thigh, Flap Medial, Dehiscence.