[Penis reconstruction with sensation and erectile function maintained (report of 40 cases)].

ABSTRACT

OBJECTIVE: To reconstruct a penis with sensation and erectile function maintained by corpora cavernosa lengthening and skin flap transferring in the penis defect cases. METHODS: The procedure was based on the use of releasing the suspensory ligaments and part of crus, various flaps were designed as coverage material. Penis residual stump was advanced to anterior portion of the newly reconstruction penile body as "glans". RESULTS: 40 patients with penis defect have been operated by the above methods. In the cases, length of the penis varied from 0.5-4.0 cm in the flaccid, 1.5-5.0 cm in erect state before operation. And after operation, it turned to 5.0-8.5 cm in the flaccid, 7.0-12.5 cm in erect state. Most of the patients recovered gross tactile sensation and had satisfactory erectile function. CONCLUSION: With this method, the reconstructed penis tends to have a better appearance and function. It's a more optimal method compared with the conventional operation.