ABSTRACT
This experimental study on 24 male rats evaluated the advantages of vascularized vs.
nonvascularized temporoparietal free fascia transfer as an improved form of penile
tunica albuginea replacement. The paper describes in detail steps in these techniques
and offers functional, anatomic, and histologic follow-up after 3 months. All 24 rats
developed straight corpora cavernosa in erection. The flap was successful in each
case, providing satisfactory morphologic appearance with minimal bulk. The only differences
were histologically provided. Secondary degenerative changes were identified in all
penises with nonvascularized fascial transfer, and one-third of penises with vascularized
temporoparietal fascia free transfer. These results encourage vascularized free-tissue
transfer application as an optimal solution in human penile reconstructive surgery.
