2006, Number 1
Reconstrucción de pene con injerto vascular de músculo y hueso peroné
Espinosa CGB, Ibarra LF, Lozano GJL
Full text
Language: Spanish
References: 5
Page: 22-25
PDF size: 239.22 Kb.
ABSTRACT
Penis reconstruction represents a big surgical challenge. To create an organ cylindrical, large in size, with erection capacity, micturition trough the tip of glans, reach a penetration during intercourse, is very difficult. Basically has been described different surgical techniques for phalloplasty, the technique used a rectangular shape of skin, muscle and fat tissue from the anterior part of forearm with vascular anastomosis and neuroraphy, create a penis normal in appearance form, but with no enough stiffness for penetration, it required a prosthesis into the penis shaft, in space without contender walls, which extrusion during sexual activity. Has been described the osteocutaneous vascular flap which include a bone segment in the central part, the fibula with surrounding muscles, with microvascular anastomosis of the pernoneal vessels between the saphenous vein and superficial femoral artery, creating cilindric organ shape with enough intrinsic rigid for easy penetration in intercourse, no need prosthesis. We present the clinical experience of 15 years old young man, who suffered total penis amputation during infancy in motor vehicle accident, he was underwent total penis reconstruction with an osteocutaneous and muscle flap including a segment bone of fibula with microvascular anastomosis in genital region.REFERENCES