Abstract
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.
Keywords
penile reconstruction - phalloplasty - free tissue transfer
