Semin Plast Surg 2019; 33(01): 024-029
DOI: 10.1055/s-0039-1677879
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free Tissue Transfer Penile Reconstruction

Bradley Kropp
1  Department of Urology, OKC Kids Urology, Oklahoma City, Oklahoma
Jason E. Cohn
2  Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania
Weitao Wang
3  Department of Otolaryngology, University of Rochester Medical Center, Rochester, New York
Mofiyinfolu Sokoya
4  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
Yadranko Ducic
4  Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
08 March 2019 (online)


Phalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Each procedure has advantages and disadvantages; most of the procedures achieve adequate cosmetic results with high patient satisfaction. Most of the surgical complications are related to the reconstruction of the urethra or creating rigidity for intercourse. The main goals of reconstruction are to create a cosmetically appealing phallus with satisfactory sexual function.

Financial Disclosure

No financial disclosure.