Glans penis reconstruction with the pedicled deep inferior epigastric artery perforator flap

Demirtas Y., Ozturk N., Kelahmetoglu O., Guneren E.

JOURNAL OF RECONSTRUCTIVE MICROSURGERY, vol.24, no.5, pp.323-326, 2008 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 5
  • Publication Date: 2008
  • Doi Number: 10.1055/s-2008-1080534
  • Journal Name: JOURNAL OF RECONSTRUCTIVE MICROSURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.323-326
  • Keywords: glans penis, amputation, reconstruction, peclicled perforator flap, DIEAP, FOREARM FREE-FLAP, PHALLOPLASTY, CONSTRUCTION
  • Ondokuz Mayıs University Affiliated: Yes

Abstract

This is a report on a novel technique of neoglans reconstruction in a patient with an amputated glans penis as a result of a gunshot injury. A pedicled deep inferior epigastric artery perforator (DIEAP) flap measuring 7 x 4 cm and centralizing the uppermost perforators in the right abdominal. region was used. The distal penile skin was used to elongate the urethra. A subcutaneous tunnel was created alongside the penis and underneath the mons pubis. The flap was passed through this tunnel, fashioned into the shape of a glans, and secured in place around the neourethra. The patient had a satisfactory neoglans and a functional urethra at 4-month follow-up. The pedicled DIEAP flap is a suitable option for reconstruction of the glans penis.